Coping 4 Kids
Organization Active NPI Clinical Social Worker · Breese, IL
NPI 1841738457 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1841738457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.013537 (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
- Organization subpart
- No
Authorized official
- Name
- Ms. Kris Fulkerson, LCSW, MSW, MS
- Title
- Founder/President
- Phone
- (618) 830-5312
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 149.013537 | IL | Yes |
Addresses
Primary practice location
900 N Walnut St.
Breese, IL 62230
Mailing address
900 N Walnut St.
Breese, IL 62230
Phone (618) 830-5312
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All providers in Breese, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.