MR. ETHAN MCCOOPER LCSW
NPI 1851773329
Social Worker - Clinical in New York, NY

Active since June 22, 2015
280 MADISON AVE RM 1011, NEW YORK, NY 10016(646) 676-0138(646) 844-6963 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ethan Mccooper Lcsw NPPES

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

MR. ETHAN MCCOOPER LCSW (NPI 1851773329) is an individual clinical provider in New York, New York, licensed in New York (087070) and active in the NPI registry since June 2015. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1851773329
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ETHAN MCCOOPERCredential: LCSW
Location Address280 MADISON AVE RM 1011New York, NY 10016
Mailing Address801 Bergen St Apt 105Brooklyn, NY 11238-3586 · (646) 676-0138 · Fax (718) 398-8942
Fax(646) 844-6963
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateJuly 13, 2018
NPI 1851773329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · 087070 Licensed in NY · 094329-1
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

280 MADISON AVE RM 1011, New York, NY 10016

Secondary Practice Location 1

Location 1801 Bergen St Apt 105Brooklyn, NY 11238-3586 · Phone (646) 676-0138 · Fax (718) 398-8942

Other Identifiers 1

Medicaid83-1100806NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Mccooper's NPI number?

The NPI number for Ethan Mccooper is 1851773329. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Ethan Mccooper located?

Ethan Mccooper practices at 280 Madison Ave Rm 1011, New York, NY 10016. The listed phone number is (646) 676-0138.

What is Ethan Mccooper's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ethan Mccooper was last updated on July 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.