Tarique Cooper, LADC II
Counselor, Addiction (Substance Use Disorder) in Worcester, Massachusetts
1992596662- Practice location
- 90 Madison Street, Suite 502, Worcester, MA 01608
- Phone
- 774-530-6363
- Fax
- —
- Last updated
- May 15, 2025
Tarique Cooper is a Counselor, Addiction (Substance Use Disorder) based in Worcester, MA. Tarique Cooper practices in Worcester, MA and has the professional credentials of LADC II. The NPI Number for Tarique Cooper is 1992596662 and holds a License No. 24408 (MA). The current practice location address for Tarique Cooper is 90 Madison Street, Suite 502, Worcester, MA 01608 and can be reached out via phone at 774-530-6363.
Provider Profile Details
- NPI Number
- 1992596662
- Provider Name
- Tarique Cooper
- Credential
- LADC II
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Madison Street, Suite 502, Worcester, MA 01608
- Phone Number
- 774-530-6363
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2025
- Last Update Date
- May 15, 2025
- Certification Date
- May 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Madison Street
Suite 502
Worcester, MA 01608 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608
- Phone Number
- 774-530-6363
Provider Business Mailing Address Details
- Address
- 90 Madison Street
Unit 608
Worcester, MA 01608 - City
- Worcester
- State
- MA
- Zip
- 01608
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Case Manager/Care Coordinator · 171M00000X
- License Number (3)
- 24408
- License State (3)
- MA
- Taxonomy (3)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tarique Cooper, LADC II?
The NPI number of Tarique Cooper, LADC II is 1992596662. It was assigned on May 13, 2025 and is currently active in the NPPES registry.
What is the specialty of Tarique Cooper, LADC II?
Tarique Cooper, LADC II is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 24408.
Where does Tarique Cooper, LADC II practice?
The practice location is 90 Madison Street, Suite 502, Worcester, MA 01608. The office can be reached at 774-530-6363 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992596662 directly on the NPPES registry website.