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MS. MARY H COOPER LCSW
NPI 1881972743
Social Worker - Clinical in Fairfax, VA

Active since July 26, 2011Opted out of Medicare · through Jan 1, 2028
3611 CHAIN BRIDGE RD STE D, FAIRFAX, VA 22030(703) 385-7600 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary H Cooper Lcsw NPPES

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

MS. MARY H COOPER LCSW (NPI 1881972743) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904003412) and active in the NPI registry since July 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1881972743
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY H COOPERCredential: LCSW
Location Address3611 CHAIN BRIDGE RD STE DFairfax, VA 22030-3246
Mailing Address3611 Chain Bridge Rd Ste DFairfax, VA 22030-3246 · (703) 385-7600
Phone(703) 385-7600
Sole ProprietorYes
Enumeration DateJuly 26, 2011
✔ NPI 1881972743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904003412
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.
3611 CHAIN BRIDGE RD STE D, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Mary H Cooper Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MRS. JENNIFER SMOOT GISIN MSW
Social Worker (Clinical)
3611 CHAIN BRIDGE RD STE D
FAIRFAX, VA 22030
Fairfax City (703) 380-9045
DORSA SADEGHI
Counselor (Mental Health)
3611 CHAIN BRIDGE RD STE D
FAIRFAX, VA 22030
Fairfax City (703) 380-9045

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 Mary Cooper's NPI number?

The NPI number for Mary Cooper is 1881972743. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Mary Cooper located?

Mary Cooper practices at 3611 Chain Bridge Rd Ste D, Fairfax, VA 22030. The listed phone number is (703) 385-7600.

What is Mary Cooper's specialty?

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

Is Mary Cooper enrolled in Medicare?

No. Mary Cooper has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Cooper was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.