NPIMap

Organization Active NPI

Debra J Koopmann & Associates, LLC

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1760797823
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007379 Issued in IL
Legal business name
DEBRA J KOOPMANN & ASSOCIATES, LLC
Practice address
1288 Rickert Dr
Suite 220
Naperville, IL 60540-0951
Phone
(630) 673-5667
Fax
(630) 717-1165
NPI assigned
Aug 13, 2010
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Debra Jean Koopmann, LCSWNPI 1760491831
Title
Therapist
Phone
(630) 673-5667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-007379 IL Primary

Addresses

Primary practice location

1288 Rickert Dr
Suite 220
Naperville, IL 60540-0951

Mailing address

1288 Rickert Dr
Suite 220
Naperville, IL 60540-0951
Phone (630) 673-5667

National Provider Directory

National Provider Directory

Locations

1288 Rickert Dr
Ste 220
Naperville, IL 60540
Phone (630) 476-0429

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1760797823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "SUITE 220",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-673-5667",
            "fax_number": "630-717-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "SUITE 220",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-673-5667",
            "fax_number": "630-717-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA J KOOPMANN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "KOOPMANN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-673-5667",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.