Provider Demographics
NPI:1790819092
Name:COOPEY, BETH ARLENE (LSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ARLENE
Last Name:COOPEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800A STENTON AVENUE
Mailing Address - Street 2:#102
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118
Mailing Address - Country:US
Mailing Address - Phone:215-753-9211
Mailing Address - Fax:
Practice Address - Street 1:COATESVILLE VA MEDICAL CENTER
Practice Address - Street 2:1400 BLACKHORSE HILL ROAD
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125085104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker