Active NPI
Gail Franka Puckerin-Cooper, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1790822708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071671
- Practice address
- 41 E 11TH St FL 4
New York, NY 10003 - Phone
- (347) 307-6262
- Fax
- (212) 477-2040
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071671 | NY | Primary |
Addresses
Primary practice location
41 E 11TH St FL 4
New York, NY 10003
Mailing address
19838 Pompeii Ave Apt 1D
Hollis, NY 11423-1422
Phone (347) 307-6262
Other practice location 1
11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone (718) 659-4000 ext. 211
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1790822708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19838 POMPEII AVE APT 1D",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231422",
"telephone_number": "347-307-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 11TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "347-307-6262",
"fax_number": "212-477-2040"
}
],
"practiceLocations": [
{
"address_1": "11515 Sutphin Blvd",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114341020",
"country_code": "US",
"telephone_number": "718-659-4000 x211",
"fax_number": "718-659-1405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCKERIN-COOPER",
"first_name": "GAIL",
"middle_name": "FRANKA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.