Robert Lyle Cooper, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005077A Issued in IN

Practice address

1501 State St
New Albany, IN 47150-4911

Phone

(502) 742-6028

Fax

(812) 371-0807

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922027481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "502-742-6028",
            "fax_number": "812-371-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504911",
            "telephone_number": "502-742-6028",
            "fax_number": "812-371-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROBERT",
        "middle_name": "LYLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005077A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Conway
• John Craig Cook, DDS PC
• Savannah Leigh Cook
• Brandon Scott Cooke, DC
• Terra Coomer, APRN, AGCNS
• Carla Denise Copas, ARNP, CNM
• Taylor Cora, DNP-FNP-C
• Timothy Alan Corba, MD
• Addison Corbin
• Core Endodontics

• Clinical Social Worker in New Albany, IN
• Providers in New Albany, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.