Ronald Edward Cooper, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC302264 Issued in DC

Practice address

6856 Eastern Ave NW
Washington, DC 20012-2165

Phone

(202) 723-6600

Fax

(202) 723-2549

NPI assigned

Oct 18, 2007

Last updated

Jul 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1700075306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WARREN ST NE",
            "address_2": "APT. #3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026476",
            "telephone_number": "202-486-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-723-6600",
            "fax_number": "202-723-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11779315",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Victoria Cooper
• Naujae Cooper
• Paul Cooper, MD
• Reginald Cooper, HHA
• Rochelle Cooper
• Ronald L Cooper, DDS
• Ronisha L Cooper, HHA
• Roxane Cooper
• Sorelle Nicole Jones Cooper, FNP
• Takeia Cooper

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.