Elisabeth Nicole Cooper | Memphis, TN • PECOS Search

Elisabeth Nicole Cooper

Social Worker

Behavioral Health & Social Service Providers

1030 Jefferson Ave # 122, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Elisabeth Nicole 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 2 days ago.

Profile Details

Provider ID
1720194590
Provider Type
Individual
Full Name
Cooper, Elisabeth Nicole
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/22/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1030 Jefferson Ave # 122, Memphis, TN 38104-2127

(901) 577-7427

Mailing Location

1030 Jefferson Ave # 122, Memphis, TN 38104-2127

(901) 577-7427

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LSW4680 Tennessee