Active NPI
Rhea Janelle Cooper, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1679703391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801089993
- Practice address
- 20100 Greenfield
Detroit, MI 48235 - Phone
- (313) 342-2699
- Fax
- (313) 342-2180
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801089993 | MI | Primary |
Addresses
Primary practice location
20100 Greenfield
Detroit, MI 48235
Mailing address
129 E. Third St.
Flint, MI 48502
Phone (313) 342-2699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089993 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennis Center for Children, Inc | Past | Accepting new patients | |
| Ennis Center for Children, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1689098121
-
- Community/Behavioral Health Agency
- Flint, MI
- NPI 1851520589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1679703391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E. THIRD ST.",
"city": "FLINT",
"state": "MI",
"postal_code": "48502",
"telephone_number": "313-342-2699",
"fax_number": "313-831-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20100 GREENFIELD",
"city": "DETROIT",
"state": "MI",
"postal_code": "48235",
"telephone_number": "313-342-2699",
"fax_number": "313-342-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RHEA",
"middle_name": "JANELLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801089993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.