Individual provider · Type 1 NPI

Kristine Cooper, LISW-CP

Clinical Social Worker · Charleston, SC

NPI number 1114854825 Active

Practice location

3030 Ashley Town Center Dr Ste 203B
Charleston, SC 29414-5678

Mailing address

PO Box 87
Johns Island, SC 29457-0087

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17600 (SC)

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 1114854825

Kristine Cooper, LISW-CP's National Provider Identifier is 1114854825, issued on May 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, SC. The record was last updated on May 6, 2026.