Ms Chantay Nicole Cooper, LCSW is a
Social Worker - Clinical based in Charlotte, North Carolina. Ms Chantay Nicole Cooper is licensed to practice in North Carolina (license number C008000) and her current practice location is
4774 Craigmoss Ln, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 651-9776.
NPI number for Ms Chantay Nicole Cooper is 1083963235 and her current mailing address is 4774 Craigmoss Ln, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083963235.
Healthcare Provider's Profile
Full Name | Ms Chantay Nicole Cooper |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4774 Craigmoss Ln, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083963235
- Provider Enumeration Date: 09/04/2012
- Last Update Date: 06/02/2015
Medical Identifiers
Medical identifiers for Ms Chantay Nicole Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083963235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C008000 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C008000 (North Carolina) | 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. Ms Chantay Nicole 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 |
Ms Chantay Nicole Cooper, LCSW 4774 Craigmoss Ln, Charlotte, NC 28278-6675 Ph: (704) 651-9776 | Ms Chantay Nicole Cooper, LCSW 4774 Craigmoss Ln, Charlotte, NC 28278-6675 Ph: (704) 651-9776 |
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