Active NPI
Jennifer Lynn Foster Cooper
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1972276244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016400
- Practice address
- 5 Corporate Center CT
Greensboro, NC 27408-2033 - Phone
- (336) 357-0404
- NPI assigned
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016400 | NC | Primary |
Addresses
Primary practice location
5 Corporate Center CT
Greensboro, NC 27408-2033
Mailing address
1617 Holly Grove Rd
Lexington, NC 27292-4233
Phone (336) 682-5247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 13, 2023 through Dec 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016400 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1972276244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 HOLLY GROVE RD",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272924233",
"telephone_number": "336-682-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CORPORATE CENTER CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082033",
"telephone_number": "336-357-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER COOPER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-31",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.