Individual provider · Type 1 NPI

Shaquilla N. Cooper, DSW, TCM, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1003476466 Active

Practice location

1828 Bolling Ave
Louisville, KY 40210-1908

Call (502) 536-7245 Map

Fax (502) 963-5135

Other practice locations

  • 849 S 37th St, Louisville, KY 40211-2811 · (502) 536-7245

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Clinical Social Worker 1041C0700X254214 (KY)

Clinical Social Worker: 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 interpers…

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About NPI 1003476466

Shaquilla N. Cooper, DSW, TCM, LCSW's National Provider Identifier is 1003476466, issued on Jun 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 1, 2024.