Individual provider Active NPI

Sylvia Ellen Cooper, LCSW-R

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1609206945
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R024253 Issued in NY
Practice address
139 Windwatch Dr
Hauppauge, NY 11788-3351
Phone
(631) 525-9250
NPI assigned
Nov 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R024253 NY Primary

Addresses

Primary practice location

139 Windwatch Dr
Hauppauge, NY 11788-3351

Mailing address

139 Windwatch Dr
Hauppauge, NY 11788-3351
Phone (631) 525-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429001880 NY Practitioner - Clinical Social Worker 2264665132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Options Systems LCSW LLPGroup PAC ID 5092817841, 4 clinicians

Practice addresses (Care Compare)

8 Westwood Ave
Stony Brook, NY 11790-2837
Phone (516) 313-5556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R024253NYMDClinical Social Worker
024253NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Options Systems LCSW LLP Clinical CurrentSince Feb 25, 2015 Accepting new patients
Sunrise Counseling Center,LTD Clinical CurrentSince Nov 25, 2013 Accepting new patients

Locations

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385164800000",
    "number": "1609206945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WINDWATCH DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883351",
            "telephone_number": "631-525-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WINDWATCH DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883351",
            "telephone_number": "631-525-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SYLVIA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.