Organization Active NPI

Erika Cooley, LCSW, LLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1689394033
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ERIKA COOLEY, LCSW, LLC
Practice address
1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568
Phone
(850) 583-0067
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Erika M Cooley, MSW, LCSWNPI 1407329253
Title
Licensed Clinical Social Worker
Phone
(850) 583-0067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568

Mailing address

1700 N Monroe St
Suite 11-PMB #300
Tallahassee, FL 32303
Phone (850) 583-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220901000467 FL Part B Supplier - Clinic/Group Practice 3971987447 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1700 N Monroe St
Ste 11
Tallahassee, FL 32303
Phone (850) 583-0067

1882 Capital Cir NE
Ste 201
Tallahassee, FL 32308
Phone (850) 583-0067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1689394033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MONROE ST",
            "address_2": "SUITE 11-PMB #300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "850-583-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "850-583-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA COOLEY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "850-583-0067",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.