Individual provider · Type 1 NPI

Kooper Gordon, LCSW

Clinical Social Worker · Fort Worth, TX

NPI number 1225838055 Active

Practice location

4217 Longmeadow Way
Fort Worth, TX 76133-7559

Mailing address

1300 Summit Ave Ste 520
Fort Worth, TX 76102-4419

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108608 (TX)

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 1225838055

Kooper Gordon, LCSW's National Provider Identifier is 1225838055, issued on Mar 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 19, 2025.