Individual provider · Type 1 NPI
Kenyetta Lovelee Cooper, LSCW, LCAS, CCS
Clinical Social Worker · Fayetteville, NC
Practice location
5416 Raeford Rd Ste A
Fayetteville, NC 28304-3157
Other practice locations
- 1618 Bonforte Blvd Ste B, Pueblo, CO 81001-1676 · (704) 777-8858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C013964 (NC) |
| Clinical Social Worker | 1041C0700X | CCS-21827 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25591 (NC) |
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…
2 other providers at this address
Other clinical social worker providers in Fayetteville
- Maria Rivera, LCSWClinical Social Worker Fayetteville, NC NPI 1003197633
- Bryan Holliday, LCSWA, CSACClinical Social Worker Fayetteville, NC NPI 1003247552
- Tracey B. Natale, MSW, LCSWAClinical Social Worker Fayetteville, NC NPI 1003488602
- Mazie Ellis, LCSWAClinical Social Worker Fayetteville, NC NPI 1003532052
- Laura Jackson, LCSWAClinical Social Worker Fayetteville, NC NPI 1003671512
- Mark Thomas Potaracke, LCSWClinical Social Worker Fayetteville, NC NPI 1003785122
- Mitchell ThompsonClinical Social Worker Fayetteville, NC NPI 1013201698
- Bobette N. Smith, LCSWClinical Social Worker Fayetteville, NC NPI 1013314921
About NPI 1124687058
Kenyetta Lovelee Cooper, LSCW, LCAS, CCS's National Provider Identifier is 1124687058, issued on Jun 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 17, 2025.