Individual
DR. MARLENE G. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LCSW
Contact information
Practice address
2223 ROSSINI LN, MIDDLETOWN, DE 19709-3212
(732) 967-1659
Mailing address
2223 ROSSINI LN, MIDDLETOWN, DE 19709-3212
(732) 967-1659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO1436000
NJ
1041C0700X
Clinical Social Worker
PRO11450
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082299
GHI/VALUE OPTIONS
NY
01
—
146934
BEACON HEALTH OPTIONS
—
01
—
NS350
OXFORD HEALTH PLAN
NY
Enumeration date
11/01/2006
Last updated
08/09/2021
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