Matthew Paul Cooper | Howell, MI • PECOS Search

Matthew Paul Cooper

Social Worker

Behavioral Health & Social Service Providers

2280 E Grand River Ave, Howell, MI 48843-8503

(517) 546-4126 (734) 389-3645

PECOS Enrollment

Based on the most recent information from CMS, provider Matthew Paul Cooper does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205442001
Provider Type
Individual
Full Name
Cooper, Matthew Paul
Credential
LLMSW

Gender
Male
Sole Proprietor
No
Enumeration Date
9/17/2020
Last Updated
9/17/2020

Contact Information

Practice Location

2280 E Grand River Ave, Howell, MI 48843-8503

(517) 546-1300

Mailing Location

282 Taft St, Ypsilanti, MI 48197-4727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801107347 Michigan