Individual provider · Type 1 NPI

Tracy L. Cooper, MSW, LCSW, EI-IMH

Clinical Social Worker · Chicago, IL

NPI number 1801876552 Active

Practice location

2139 W Barry Ave, Basement
Chicago, IL 60618-8138

Call (773) 991-6187 Map

Fax (855) 222-5962

Mailing address

PO Box 35309
Elmwood Park, IL 60707

Specialties and licenses

TaxonomyCodeLicense
Intellectual & Developmental Disabilities Psychologist 103TM1800X149.011267 (IL)
Developmental - Behavioral Pediatrics Physician 2080P0006X149.011267 (IL)
Clinical Child & Adolescent Psychologist 103TC2200X149.011267 (IL)
Community/Behavioral Health Agency 251S00000X149.011267 (IL)
Clinical Social Worker Primary 1041C0700X149.011267 (IL)

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 1801876552

Tracy L. Cooper, MSW, LCSW, EI-IMH's National Provider Identifier is 1801876552, issued on Jan 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 11, 2023.