Carman Cooper, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010402 Issued in NC

Practice address

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252

Phone

(980) 900-9574

Fax

(704) 780-1066

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cooper Counseling and Therapy Services, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1265104434

  Clinical, SC

  Medicare reassignment NPD Authorized official
• Associated Family and Life Services, LLC

  • Counselor
  • Durham, NC
  • NPI 1487805321
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1972950400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 APRIL LIU LN APT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136962",
            "telephone_number": "980-900-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD STE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102252",
            "telephone_number": "980-900-9574",
            "fax_number": "704-780-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CARMAN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Coons, LMFT
• Cooper Counseling and Therapy Services, PLLC
• Alisha Cooper, LPC
• Barbara L Cooper, MSW, LCSW, LCAS
• Brenda Martin Cooper, LCAS
• Catherine Cooper
• Chantay Nicole Cooper, LCSW
• Claudia Cooper
• Courtney R. Cooper, LCSW
• David Cooper

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.