JESSICA ANNE COOPER (NPI# 1639609415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639609415 |
| Entity Type | Individual |
| Full Name | JESSICA ANNE COOPER |
| Credential | LCSWA |
| Practice Address |
702 N Main St Roxboro NC 27573-4755 |
| Mailing Address |
803 S Walker St Burgaw NC 28425-5001 |
| Practice Telephone | 3365999271 |
| Mailing Telephone | 9102690668 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C012319 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P011668 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1639609415 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 803 S Walker St, Burgaw, NC 284255001 | 9102590668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699264242 | Jessica Cooper | Speech-Language Pathologist | 2570 Carr Ct, Lakewood, CO 80215-1754 | 2018-05-08 |
| 1942704077 | Jessica Cooper | Specialist/Technologist, Other | 621 Henderson St, Joshua, TX 76058-3178 | 2018-03-22 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1639484363 | Jessica Ann Cooper | Massage Therapist | 117 N 25th St, Wilmington, NC 28405-2942 | 2010-08-18 |
| 1922244961 | Jessica Latrice Cooper | Social Worker | 24815 Lazy Tee Ln, Tomball, TX 77375-1120 | 2008-12-22 |
| 1821243197 | Jessica Cooper | Speech-Language Pathologist | 5 Sinclair Pl, Hartsdale, NY 10530-2912 | 2008-11-29 |
| 1942844600 | Jessica Rose Cooper | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2019-11-05 |
| 1205481074 | Jessica Cooper | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2019-08-07 |
| 1033773312 | Jessica Cooper | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-04-23 |
| 1720541667 | Jessica J Cooper | Behavioral Analyst | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2019-04-08 |
| Street Address |
702 N MAIN ST |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104478882 | Kaitlyn Kirby Lytle | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-07-12 |
| 1487219879 | Mary Elizabeth Matthews | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-05-01 |
| 1780160135 | Quinn Demott | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2018-07-18 |
| 1598291163 | John Illsley | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2017-05-02 |
| 1609263599 | Alisa Paliy | Psychiatry & Neurology | 702 N Main St, Roxboro, NC 27573-4755 | 2015-04-19 |
| 1275948804 | Rivkah Krevsky | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2014-06-23 |
| 1811239288 | Aileen V Searles | Pediatrics | 702 N Main St, Roxboro, NC 27573-4755 | 2013-03-22 |
| 1881948339 | Angela J Good | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2012-11-06 |
| 1568726610 | Stephanie George | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2012-07-03 |
| 1114218492 | Demaura H Russell | Family Medicine | 702 N Main St, Roxboro, NC 27573-4755 | 2011-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821025 | Elizabeth Daniels | Social Worker | 22 Barden Pl Apt C, Roxboro, NC 27573-5491 | 2014-04-15 |
| 1922311554 | .community Counseling Services, PC. | Social Worker | 737 Durham Rd, Roxboro, NC 27573-5607 | 2010-07-25 |
| 1992033666 | Caleb Jonathan Migombo | Social Worker | 355c-2 S. Madison Blvd, Roxboro, NC 27273 | 2009-11-18 |
| 1609954213 | Signe Offenberg | Social Worker | 355 C South Madison Blvd, Roxboro, NC 27573 | 2006-11-01 |
| 1457452914 | Karen Landis | Social Worker | 245 Semora Rd, Roxboro, NC 27573-5180 | 2006-09-26 |
| 1700826989 | Elizabeth Cruise | Social Worker | 355-c Madison Blvd, Roxboro, NY 27573 | 2006-06-07 |
| 1528018025 | Ellen K. Mcrae | Social Worker | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2006-05-12 |
| 1871142539 | Britanie Walker | Social Worker | 210 N Main St, Roxboro, NC 27573-5325 | 2019-09-05 |
| 1184181695 | Herbert Clifford Brown | Social Worker | 210 N Main St, Roxboro, NC 27573-5325 | 2019-02-21 |
| 1588188734 | Tianna Mone't Barksdale | Social Worker | 355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485 | 2017-07-31 |
| Find all providers in ROXBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.