SHANNON COOPER LMSW
NPI 1104499078
Social Worker in Rosedale, MD

Q: What is Shannon Cooper's NPI number?

The NPI number for Shannon Cooper is 1104499078. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Q: What is Shannon Cooper's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Cooper was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2021PECOS Enrolled

9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shannon Cooper Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON COOPER LMSW (NPI 1104499078) is an individual social worker in Rosedale, Maryland, licensed in Maryland (22721) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104499078

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHANNON COOPERCredential: LMSW

Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157

Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203

Phone(410) 780-5203

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 20, 2021

NPPES CertifiedJuly 20, 2021

✔ NPI 1104499078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MD · 22721

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Cooper Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032608690

PECOS Enrollment IDI20251103000844

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONNETTE MCPHERSON

Counselor (Mental Health)