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
Fax: (904) 308-6890
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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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