Individual provider Active NPI

Audra Leann Cooper, LCSW

  • Clinical Social Worker
  • Greenwood, AR
National Provider Identifier
1700412012
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10148C Issued in AR
Practice address
527 Caperton Loop
Greenwood, AR 72936-3511
Phone
(479) 551-8420
Fax
(501) 426-8270
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 10148C AR Primary

Addresses

Primary practice location

527 Caperton Loop
Greenwood, AR 72936-3511

Mailing address

PO Box 1337
Greenwood, AR 72936-1337
Phone (479) 551-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20260618000568 AR Practitioner - Clinical Social Worker 1759850969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

910 S Rogers St
Suite a
Clarksville, AR 72830-4331

PO Box
Suite 1337
Greenwood, AR 72936-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10148CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper & Cooper Mental Health Group PLLC Clinical CurrentSince Jan 4, 2026 Accepting new patients

Organizations & group practices 1

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1700412012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729361337",
            "telephone_number": "479-551-8420",
            "fax_number": "501-426-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 CAPERTON LOOP",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363511",
            "telephone_number": "479-551-8420",
            "fax_number": "501-426-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AUDRA",
        "middle_name": "LEANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10148C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

Verify at the official NPI Registry.