Erika Cooley, Lcsw, Llc | |
1882 Capital Cir Ne Ste 201 Tallahassee FL 32308-4568 | |
(850) 583-0067 | |
Not Available |
Full Name | Erika Cooley, Lcsw, Llc |
---|---|
Speciality | Social Worker |
Location | 1882 Capital Cir Ne Ste 201, Tallahassee, Florida |
Authorized Official Name and Position | Erika M Cooley (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8505830067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Erika Cooley, Lcsw, Llc 1700 N Monroe St Suite 11-pmb #300 Tallahassee FL 32303 Ph: (850) 583-0067 | Erika Cooley, Lcsw, Llc 1882 Capital Cir Ne Ste 201 Tallahassee FL 32308-4568 Ph: (850) 583-0067 |
NPI Number | 1689394033 |
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Provider Enumeration Date | 08/29/2022 |
Last Update Date | 08/29/2022 |
Certification Date | 08/27/2022 |
Medicare PECOS PAC ID | 3971987447 |
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Medicare Enrollment ID | O20220901000467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689394033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Erika M Cooley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407329253 PECOS PAC ID: 6608202999 Enrollment ID: I20200205000607 |
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