Individual provider · Type 1 NPI

Lisa Marie Cooley

Clinical Social Worker · Riverton, UT

NPI number 1750170205 Active

Practice location

13222 Tree Sparrow Dr Ste R200
Riverton, UT 84096-2888

Mailing address

5024 W Frogs Leap Dr Apt 1107
South Jordan, UT 84009-4735

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14203295-3502 (UT)

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 1750170205

Lisa Marie Cooley's National Provider Identifier is 1750170205, issued on May 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverton, UT. The record was last updated on Nov 4, 2025.