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NPI Code Detail

MEDICARE: JORDANNE COOPER LCSW

MEDICARE:   JORDANNE  COOPER  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 Worker34012228AIN

General Provider Information

NPI Number : 1285584862
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDANNE COOPER LCSW
Provider Business Mailing Address
First Line : 5969 REGENCY DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-4554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5969 REGENCY DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-4554
Country : US
Telephone Number : 812-565-2668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ JORDANNE COOPER LCSW” Practice Location

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