Cooperrider, Ellen
Cooperrider, Ellen is an individual health care provider with primary practice located at 2300 Park Ave Ste 205 , Orange Park FL 32073-5573. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cooperrider, Ellen can be contacted via phone (904) 308-3751.Contact Information
Primary practice address
2300 Park Ave Ste 205
Orange Park FL 32073-5573
Phone: (904) 308-3751
Fax: (904) 308-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW15691 | Florida |
Profile Details
| NPI number | 1215579990 |
|---|---|
| LBN Legal business name | Cooperrider, Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2019 |
| Last updated | Nov 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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