Kenyetta Lovelee Cooper, LSCWA, LCASA is a
Social Worker - Clinical based in Concord, North Carolina. Kenyetta Lovelee Cooper is licensed to practice in North Carolina (license number P013426) and her current practice location is
284 Executive Park Dr Ste 100, Concord, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 939-1100.
NPI number for Kenyetta Lovelee Cooper is 1124687058 and her current mailing address is 284 Executive Park Dr Ste 100, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124687058.
Healthcare Provider's Profile
| Full Name | Kenyetta Lovelee Cooper |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 284 Executive Park Dr Ste 100, Concord, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124687058
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 08/30/2019
Medical Identifiers
Medical identifiers for Kenyetta Lovelee Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124687058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25591 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P013426 (North Carolina) | Primary |
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. Kenyetta Lovelee Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenyetta Lovelee Cooper, LSCWA, LCASA
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833
Ph: (704) 939-1100 | Kenyetta Lovelee Cooper, LSCWA, LCASA
284 Executive Park Dr Ste 100,
Concord, NC 28025-1833
Ph: (704) 939-1100 |
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