Coping 4 Kids

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013537 Issued in IL

Legal business name

COPING 4 KIDS

Practice address

900 N Walnut St.
Breese, IL 62230

Phone

(618) 830-5312

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kris Fulkerson, LCSW, MSW, MS

Title

Founder/President

Phone

(618) 830-5312

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1841738457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WALNUT ST.",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "62230",
            "telephone_number": "618-830-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WALNUT ST.",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "62230",
            "telephone_number": "618-830-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPING 4 KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "618-830-5312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MSW, MS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Breese, IL
• Providers in Breese, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.