AUDRA COOPER (NPI# 1700412012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700412012 |
| Entity Type | Individual |
| Full Name | AUDRA COOPER |
| Credential | BA, ADC, RDS |
| Practice Address |
615 N 19th St Fort Smith AR 72901-3319 |
| Mailing Address |
512 S 16th St Fort Smith AR 72901-4628 |
| Practice Telephone | 4797854083 |
| Mailing Telephone | 4794346266 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | 10148-M | AR | Behavioral Health & Social Service Providers |
| Street Address |
615 N 19TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166123 | Harbor House, Inc. | Social Worker | 615 N 19th St, Fort Smith, AR 72901-3319 | 2006-12-04 |
| 1871120550 | Christopher Gonzalez | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1255968947 | Vincent Scott | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1154958841 | David Allen | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1093342974 | Michael Howard | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1801423785 | Nicholas Page | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1558998419 | Thomas Owens | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1801422118 | Austin Coats | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-18 |
| 1295111953 | Philisha Norried | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2015-08-05 |
| 1497130538 | William L Heaton | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2015-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073558920 | Charles Pennington | Social Worker | 3419 Brooken Hill Dr, Fort Smith, AR 72908-9255 | 2006-06-17 |
| 1083224364 | Donald Block IIi | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2020-08-03 |
| 1801446364 | Amanda A Spears | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-09-17 |
| 1144873571 | Mariah Hiatt | Social Worker | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-07-24 |
| 1962062331 | Uatchet Gay | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-06-18 |
| 1669935870 | Ashley Mozelle Mckenzie | Social Worker | 1620 S 46th St, Fort Smith, AR 72903-3129 | 2019-04-14 |
| 1184108102 | Taylor Dane Ward | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-09-17 |
| 1952786162 | Darlena Peikert | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2015-07-29 |
| 1942543582 | Shambrhee Burton | Social Worker | 7701 S Zero St, Fort Smith, AR 72903-6644 | 2013-04-02 |
| 1770836744 | Donavon Derusse | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2012-10-16 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on AUDRA COOPER.
| 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.