Individual provider · Type 1 NPI

Shawandalyn Latrelle Cooley, LCSW

Clinical Social Worker · Jacksonville, NC

NPI number 1376608653 Active

Practice location

825 Gum Branch Rd, Suite 133
Jacksonville, NC 28540-6298

Fax (910) 346-8285

Mailing address

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959

Other practice locations

  • 4250 Fairfax Dr Ste 600, Arlington, VA 22203-1665 · (202) 360-4787
  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 · (202) 360-4787

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X24269 (MD)
Clinical Social Worker Primary 1041C0700X0904009596 (VA)

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 1376608653

Shawandalyn Latrelle Cooley, LCSW's National Provider Identifier is 1376608653, issued on Dec 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, NC. The record was last updated on Jul 24, 2025.