Individual provider Active NPI

Dyneil Cooley, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1811210446
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081144 Issued in NY
Practice address
412 Avenue of the Americas Ste 607
New York, NY 10011-8409
Phone
(917) 600-4233
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081144 NY Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Ms. Dyneil Roper Cooley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506000608 NY Practitioner - Clinical Social Worker 8123347564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 Ave of the Americas
Suite 607
New York, NY 10011-8409
Phone (917) 600-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081144NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dyneil Roper Cooley LCSW PC Clinical CurrentSince May 18, 2025 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

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

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1811210446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MORTON ST # 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": {
        "last_name": "COOLEY",
        "first_name": "DYNEIL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DYNEIL",
            "last_name": "COOLEY",
            "middle_name": "ROPER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.