Individual
DR. MARLENE G. COOPER
Active
Individual
DR. MARLENE G. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO1436000
NJ
1041C0700X
Clinical Social Worker
PRO11450
NY
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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