Laneshia Natoria Cooper, LCSW
Social Worker, Clinical in Waycross, GA. Individual provider (NPI-1).
NPI number1487909503
StatusActive
Last updated in NPPESJun 19, 2019
Details
- NPI
- 1487909503
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laneshia Natoria Cooper
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2012
- Last updated
- Jun 19, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MSW005743 | GA | Yes |
Practice location
702 Ossie Davis PkwyWaycross, GA 31501-4656
Phone 912-550-8838
Mailing address
Po Box 561Waycross, GA 31502-0561
Phone 912-550-8838
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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