Shaquilla N Cooper, LCSW in Louisville, KY - Medicare Social Worker Provider

Shaquilla N Cooper, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. Her current practice location is 1828 Bolling Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 536-7245.

Shaquilla N Cooper is licensed to practice in Kentucky (license number 254214) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003476466.

Contact Information

	Shaquilla N Cooper, LCSW
	1828 Bolling Ave, Louisville, KY 40210-1908
	(502) 536-7245
	(502) 963-5135

Map and Direction

Healthcare Provider's Profile

Full Name	Shaquilla N Cooper
Gender	Female
Speciality	Social Worker - Clinical
Location	1828 Bolling Ave, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003476466
Provider Enumeration Date: 06/18/2019
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3476889296
Enrollment ID: I20190731001639

Medical Identifiers

Medical identifiers for Shaquilla N Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003476466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	254214 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shaquilla N Cooper allows following entities to bill medicare on her behalf.

Entity Name	Seven Counties Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaquilla N Cooper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shaquilla N Cooper, LCSW 1828 Bolling Ave, Louisville, KY 40210-1908 Ph: (502) 618-9205	Shaquilla N Cooper, LCSW 1828 Bolling Ave, Louisville, KY 40210-1908 Ph: (502) 536-7245

Reviews and Comments

Social Worker in Louisville, KY

Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466
David Huey Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 S 4th St Ste 842, Louisville, KY 40202 Phone: 502-584-7216 Fax: 502-585-5373
Chauweda Smith, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1949 Goldsmith Ln Ste 103, Louisville, KY 40218 Phone: 502-582-1363

Shaquilla N Cooper, LCSW - Medicare Clinical Social Worker in Louisville, KY