MEDICARE: MS. OLIVIA RENEE 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
1	1041C0700X	Clinical Social Worker	119773	CA

General Provider Information

NPI Number	:	1841962628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OLIVIA RENEE COOPER LCSW

Provider Business Mailing Address
First Line	:	2801 B ST # 118
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2208
Country	:	US
Telephone Number	:	720-506-4743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 B ST # 118
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2208
Country	:	US
Telephone Number	:	720-506-4743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2021
Last Update Date	:	09/13/2025

Similar Medicare Providers

1477991032 — DR. TSLIL FEINBERG PSY.D.
Practice Location Address:

2801 B ST # 577
SAN DIEGO, CA
92102-2208

Practice Phone: 858-356-4029
Practice Fax:

1033623996 — DR. OLABANJI ADENIRANYE PSY.D., LMFT
Practice Location Address:

2801 B ST # 2134
SAN DIEGO, CA
92102-2208

Practice Phone: 619-514-3320
Practice Fax:

1447804612 — AKUA BEHAVIORAL HEALTH, INC
Practice Location Address:

2821 B ST
SAN DIEGO, CA
92102-2208

Practice Phone: 949-777-2283
Practice Fax:

1881401503 — CHRISTINA POPE LCSW
Practice Location Address:

2801 B ST UNIT 2266
SAN DIEGO, CA
92102-2208

Practice Phone: 858-727-8654
Practice Fax:

1790656676 — AASHA HEALTH INC.
Practice Location Address:

2821 B ST
SAN DIEGO, CA
92102-2208

Practice Phone: 949-337-1439
Practice Fax:

1790769016 — DR. MARTIN DAVID BASTUBA M.D.
Practice Location Address:

6699 ALVARADO RD , 2208
SAN DIEGO, CA
92120-5238

Practice Phone: 619-286-3520
Practice Fax: 619-265-1429

Directions to “ MS. OLIVIA RENEE COOPER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.