| Tracy Marie Cooper, LCSW | |
|
34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 | |
| (585) 957-3981 | |
| Not Available |
| Full Name | Tracy Marie Cooper |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447615729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.027850 (Illinois) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Marie Cooper, LCSW 3104 Oak Ridge Rd, Crystal Lake, IL 60012-1066 Ph: (585) 957-3981 | Tracy Marie Cooper, LCSW 34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 Ph: (585) 957-3981 |
Kellen M Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 Eagle Point Rd, Fox Lake, IL 60020 Phone: 815-528-8965 | |
Lauren Scaglione, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 |