Individual provider · Type 1 NPI

Addison Cooper, LCSW

Clinical Social Worker · San Bernardino, CA

NPI number 1578809463 Active

Practice location

1881 Business Center Dr Ste 10A
San Bernardino, CA 92408-3438

Call (909) 890-2381 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27804 (CA)
Clinical Social Worker 1041C0700X2012015566 (MO)

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 1578809463

Addison Cooper, LCSW's National Provider Identifier is 1578809463, issued on Dec 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 27, 2017.