Individual provider · Type 1 NPI

Stacey Cooper

Clinical Social Worker · Preston, ID

NPI number 1669265732 Active

Practice location

75 S 1st W
Preston, ID 83263-1204

Mailing address

1158 N State St
Preston, ID 83263-5377

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1669265732

Stacey Cooper's National Provider Identifier is 1669265732, issued on May 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Preston, ID. The record was last updated on May 22, 2025.