National Provider Identifier
Elizabeth A. Cooley, L.C.S.W.
Elizabeth A. Cooley, L.C.S.W. is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (585) 405-4105.
Profile Overview
- NPI
- 1396027983
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 09, 2011
- Last Updated
- April 28, 2022
Practice Location
- 80 West Ave Ste L9
- Brockport, NY 14420-1300
Phone: (585) 405-4105
Mailing Address
- 61 Woodlands
- Brockport, NY 14420-2656
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1396027983
- Entity Type
- Individual
- Last Name
- Cooley
- First Name
- Elizabeth
- Middle Name
- A.
- Name Prefix
- MS.
- Credential
- L.C.S.W.
- Mailing Street Address
- 61 Woodlands
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2656
- Mailing Country
- US
- Mailing Phone
- (585) 406-4105
- Practice Street Address
- 80 West Ave Ste L9
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1300
- Practice Country
- US
- Practice Phone
- (585) 405-4105
- Enumeration Date
- September 09, 2011
- Last Updated
- April 28, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 1166002566 (NY)