Donald Wayne Cooper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1478-123 Issued in WI

Practice address

1400 E Washington Ave
187 Washington Square Building
Madison, WI 53703-3009

Phone

(608) 251-0839

Fax

(608) 255-2752

NPI assigned

Oct 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison Psychotherapy Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1295957512
  NPD (past)
• Madison Psychotherapy Associates,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1699860841

  Clinical

  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962591859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E WASHINGTON AVE",
            "address_2": "187",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033041",
            "telephone_number": "608-251-0839",
            "fax_number": "608-255-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E WASHINGTON AVE",
            "address_2": "187 WASHINGTON SQUARE BUILDING",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033009",
            "telephone_number": "608-251-0839",
            "fax_number": "608-255-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1478-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3953225",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra F Cooper, CRNA
• Allysa M. Cooper, PA-C
• Andrew Cooper
• Brennen Joel Cooper, MD
• David M Cooper, MD
• Jacqueline Tran Cooper, MD
• Kathleen A Cooper, CRNA
• Margaret Cooper
• Mariah Star Cooper, MD
• Travis B Copeland, MD

• All providers in Madison, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.