Individual provider Active NPI

Dolores Louise Cooler, LSW

  • Social Worker
  • Reno, NV
National Provider Identifier
1750416624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2831-S Issued in NV
Practice address
4600 Kietzke LN Ste B112
Reno, NV 89502-5036
Phone
(775) 825-9995
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2831-S NV Primary

Addresses

Primary practice location

4600 Kietzke LN Ste B112
Reno, NV 89502-5036

Mailing address

4600 Kietzke LN Ste B112
Reno, NV 89502-5036
Phone (775) 825-9995

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

State licenses

LicenseStateTypeSpecialty
2831-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Circle Family Services, Inc. Past Accepting new patients
Mountain Circle Family Services, 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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750416624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE B112",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025036",
            "telephone_number": "775-825-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE B112",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025036",
            "telephone_number": "775-825-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLER",
        "first_name": "DOLORES",
        "middle_name": "LOUISE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "2831-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.