Organization Active NPI

Dyneil Roper Cooley LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1801512405
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DYNEIL ROPER COOLEY LCSW PC
Practice address
412 Avenue of the Americas Ste 607
New York, NY 10011-8409
Phone
(917) 600-4233
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Dyneil Cooley, LCSWNPI 1811210446
Title
Owner/Psychotherapist
Phone
(917) 600-4233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

412 Avenue of the Americas Ste 607
New York, NY 10011-8409

Mailing address

70 Morton St Apt 3
New York, NY 10014-5700
Phone (917) 600-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250730003525 NY Part B Supplier - Clinic/Group Practice 3779090998 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

412 Ave of the Americas
Ste 607
New York, NY 10011
Phone (917) 600-4233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1801512405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MORTON ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145700",
            "telephone_number": "917-600-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 AVENUE OF THE AMERICAS STE 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118409",
            "telephone_number": "917-600-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNEIL ROPER COOLEY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "DYNEIL",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-600-4233",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.