Jalen Cooper, LCSW, SAC-IT is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Jalen Cooper is licensed to practice in Wisconsin (license number ) and his current practice location is
1610 Miller Park Way, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 310-1248.
NPI number for Jalen Cooper is 1821748542 and his current mailing address is 4001 W Capitol Dr, Milwaukee, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821748542.
Healthcare Provider's Profile
| Full Name | Jalen Cooper |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1610 Miller Park Way, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821748542
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Jalen Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821748542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1965-130 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalen Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jalen Cooper, LCSW, SAC-IT
4001 W Capitol Dr,
Milwaukee, WI 53216-2530
Ph: (414) 455-3879 | Jalen Cooper, LCSW, SAC-IT
1610 Miller Park Way,
Milwaukee, WI 53214-3604
Ph: (414) 310-1248 |
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