Individual provider Active NPI

Samaria B Cooper-Meegan, LSW

  • Social Worker
  • Saint Paul, MN
National Provider Identifier
1699517136
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14564 Issued in MN
Practice address
401 Sibley St Apt 633
Saint Paul, MN 55101-2936
Phone
(763) 393-7881
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14564 MN Primary

Addresses

Primary practice location

401 Sibley St Apt 633
Saint Paul, MN 55101-2936

Mailing address

401 Sibley St Apt 633
Saint Paul, MN 55101-2936
Phone (763) 393-7881

Other names 1

  • Samaria B Cooper Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1699517136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SIBLEY ST APT 633",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012936",
            "telephone_number": "763-393-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SIBLEY ST APT 633",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012936",
            "telephone_number": "763-393-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-MEEGAN",
        "first_name": "SAMARIA",
        "middle_name": "B",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "14564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMARIA",
            "last_name": "COOPER",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.