TINA COOPER (NPI# 1811362676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811362676 |
| Entity Type | Individual |
| Full Name | TINA COOPER |
| Credential | MSW, LCSW, CADC |
| Practice Address |
110 E Countryside Pkwy Ste C Yorkville IL 60560-1814 |
| Mailing Address |
1120 E Main St Ste 201 St Charles IL 60174-2287 |
| Practice Telephone | 6305531600 |
| Practice Fax Number | 6305537993 |
| Mailing Telephone | 6303776613 |
| Mailing Fax Number | 6303776225 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149018136 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 E Main St Ste 201, St Charles, IL 601742287 | 6303776613 | 6303776225 |
| 1230 N Highland Ave, Aurora, IL 605061401 | 6308591291 | 6308592991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567397 | Tina Marie Cooper | Specialist | 3059 N Main St, Hope Mills, NC 28348-2798 | 2017-09-11 |
| 1316295470 | Tina Cooper | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2012-08-21 |
| 1649445990 | Tina R Cooper | Occupational Therapist | 2747 Dunmoore Dr, Snellville, GA 30078-7356 | 2008-04-28 |
| 1902882749 | Tina Cooper | Family Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2005-12-22 |
| Street Address |
110 E COUNTRYSIDE PKWY STE C |
| City | YORKVILLE |
| State | IL |
| Zip Code | 60560-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907932 | Amy Heiman | Counselor | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560 | 2005-08-01 |
| 1669087839 | Daniel P Beard | Counselor | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560-1814 | 2020-09-14 |
| 1134751969 | Bernadette Collins | Counselor | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560-1814 | 2020-02-10 |
| 1689214926 | Jolene Kayla Stoller | Counselor | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560-1814 | 2020-01-15 |
| 1811178262 | Jessica Lauren Novak | Social Worker | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560-1814 | 2007-11-14 |
| 1932227303 | Laurie Ann Cox | Counselor | 110 E Countryside Pkwy Ste C, Yorkville, IL 60560 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922666791 | Elizabeth Koenig | Social Worker | Centennial Counseling Center, 110 E. Countryside Parkway, Suite C, Yorkville, IL 60560 | 2019-06-05 |
| 1013405760 | Diana Louise Hester | Physical Therapist | 797 Game Farm Rd, Yorkville, IL 60560 | 2018-04-27 |
| 1942714399 | Traci Lynn Anderson | Speech-Language Pathologist | 103 E. Schoolhouse Road, Yorkville, IL 60560 | 2017-11-21 |
| 1407379423 | Aurora Emergency Physicians, LLC | Emergency Medicine | 1122 West Veterans Parkway, Yorkville, IL 60560 | 2017-07-21 |
| 1265804637 | Walgreen Co | Pharmacy | 1122 W Veterans Pkwy, Ste A, Yorkville, IL 60560 | 2015-10-26 |
| 1760725360 | Eric Willis Andersen | Chiropractor | 520 E Kendall Dr Ste C, Yorkville, IL 60560 | 2013-04-02 |
| 1215273800 | Elizabeth Breier | Nurse Practitioner | 1100 Veteran's Parkway, Suite 200, Yorkville, IL 60560 | 2012-12-31 |
| 1104091735 | Caitlin Rose Sterchi | Chiropractor | 2625 N Bridge Street, Yorkville, IL 60560 | 2008-04-24 |
| 1689872939 | Eric Mitra | Dentist | 728 E. Veterans Parkway, Suite 113, Yorkville, IL 60560 | 2007-07-09 |
| 1932321106 | Thompson Chiropractic Clinic, Inc. | Chiropractor | 664 W Veterans Parkway, Suite A, Yorkville, IL 60560 | 2007-05-03 |
| Find all providers in zip 60560 | ||||
| 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 |
|---|---|---|---|---|
| 1831602853 | Ron Ahlberg & Associates | Social Worker | 1905 Marketview Dr Ste 152, Yorkville, IL 60560-1896 | 2017-11-13 |
| 1053865139 | Rachel Pruess | Social Worker | 134 Bertram Dr Unit D, Yorkville, IL 60560-3214 | 2016-08-07 |
| 1891146627 | Abby Elizabeth Manigold | Social Worker | 654 W Veterans Pkwy Ste B, Yorkville, IL 60560-2510 | 2016-06-22 |
| 1275970667 | Jenene L. Lasusa | Social Worker | 135 E Van Emmon St, Yorkville, IL 60560-1581 | 2013-05-27 |
| 1518249481 | Sarah L Hargarten Bacani | Social Worker | 8609 Route 47, Yorkville, IL 60560-9751 | 2011-09-15 |
| 1144517194 | Bridget Flanigan | Social Worker | 102 E Schoolhouse Rd, Suite 1, Yorkville, IL 60560-1742 | 2011-06-28 |
| 1326282609 | Tairi Grace Kearns | Social Worker | 1654 Walsh Dr, Yorkville, IL 60560-9120 | 2009-04-30 |
| 1619166907 | Ron Ahlberg Lcsw Ltd | Social Worker | 1905 Marketview Dr # 152, Yorkville, IL 60560-1896 | 2007-10-23 |
| 1457483802 | Deven Milin Butusov | Social Worker | 674 Veterans Pkwy W, Ste D, Yorkville, IL 60560 | 2007-03-12 |
| 1609939321 | Ronald Owen Ahlberg | Social Worker | 623 Hayden Dr, Yorkville, IL 60560-4611 | 2006-12-18 |
| Find all providers in YORKVILLE | ||||
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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.