Provider Demographics
NPI:1467013169
Name:COOPER, MEGAN PATRICIA (MSW, LCSWJHUYYYHJUUU)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PATRICIA
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSW, LCSWJHUYYYHJUUU
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:PATRICIA
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 MINDEES LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-1540
Mailing Address - Country:US
Mailing Address - Phone:704-562-2210
Mailing Address - Fax:
Practice Address - Street 1:108 MINDEES LN
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-1540
Practice Address - Country:US
Practice Address - Phone:704-562-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP013462104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker