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NPI Code Detail

MEDICARE: DAWN ANNE COOPERSTEIN LCSW

MEDICARE:   DAWN ANNE COOPERSTEIN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904009338VA
21041C0700XClinical Social Worker18532AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10904009338OTHERVALCSW LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
318532OTHERAZLCSW LICENSE

General Provider Information

NPI Number : 1245692508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN ANNE COOPERSTEIN LCSW
Provider Business Mailing Address
First Line : 9555 E SHILOH ST APT 5104
Second Line :
City : TUCSON
State : AZ
Zip : 85748-3246
Country : US
Telephone Number : 520-462-8559
Fax Number : 520-336-9707
Provider Business Practice Location Address
First Line : 9555 E SHILOH ST APT 5104
Second Line :
City : TUCSON
State : AZ
Zip : 85748-3246
Country : US
Telephone Number : 520-462-8559
Fax Number : 520-336-9707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 07/28/2023

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Directions to “ DAWN ANNE COOPERSTEIN LCSW” Practice Location

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