NPI 1003476466

Shaquilla N Cooper, DSWTCMLCSW

Practitioner Clinical Social Worker Louisville, KY

Practice location

Address: 1828 Bolling Ave, Louisville, KY 40210-1908
Phone: (502) 536-7245
Fax: (502) 963-5135

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Kentucky →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 254214 (KY)

Registry record

NPI: 1003476466
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2019
Record last updated: 1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.