Madeline Cooper

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11888 Issued in CT

Practice address

276 5TH Avenue
Suite 704 - 3051
New York, NY 10001-5208

Phone

(917) 719-4761

NPI assigned

Oct 3, 2014

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madeline Cooper LCSW, P.C.

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1437895471
  NPD

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1841693835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WESTPORT AVE # 1016",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514423",
            "telephone_number": "917-719-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVENUE",
            "address_2": "SUITE 704 - 3051",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015208",
            "telephone_number": "917-719-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095467",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Royann Cooper, MD
• Joseph Cooper
• Kathryn Renee Cooper, M.D.
• Kimberly L Cooper, MD
• Louis Benson Cooper, M.D., MBA
• Margalit Keri Cooper, LCSW
• Melissa Cooper, RN
• Naketa Cooper, PA
• Nicole S Cooper, PH.D.
• Paul R. Cooper, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.