Active NPI
Katherine L Cooper, LSW
- Social Worker
- Dayton, OH
National Provider Identifier
1790059509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0014340
- Practice address
- 4130 Linden Ave
Ste 390
Dayton, OH 45432-3015 - Phone
- (800) 259-3454
- Fax
- (937) 253-0707
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0014340 | OH | Primary |
Addresses
Primary practice location
4130 Linden Ave
Ste 390
Dayton, OH 45432-3015
Mailing address
1801 Watermark Dr
Ste 200
Columbus, OH 43215-7088
Phone (888) 202-2965
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0014340 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1790059509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 WATERMARK DR",
"address_2": "STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432157088",
"telephone_number": "888-202-2965",
"fax_number": "614-487-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 LINDEN AVE",
"address_2": "STE 390",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323015",
"telephone_number": "800-259-3454",
"fax_number": "937-253-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KATHERINE",
"middle_name": "L",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0014340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.