National Provider Identifier

Kristen Growney Cooper, LCSW

Kristen Growney Cooper, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 210-2344.

NPI 1811679608Rochester, NYClinical Social Worker

Profile Overview

NPI
1811679608
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 02, 2023
Last Updated
August 02, 2023

Practice Location

  • 1655 Elmwood Ave Ste 222
  • Rochester, NY 14620-3426

Phone: (585) 210-2344

Mailing Address

  • 72 Heather Dale Chase
  • Henrietta, NY 14467-9553

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1811679608
Entity Type
Individual
Last Name
Cooper
First Name
Kristen
Middle Name
Growney
Credential
LCSW
Mailing Street Address
72 Heather Dale Chase
Mailing City
Henrietta
Mailing State
NY
Mailing ZIP Code
14467-9553
Mailing Country
US
Mailing Phone
(585) 615-6609
Practice Street Address
1655 Elmwood Ave Ste 222
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3426
Practice Country
US
Practice Phone
(585) 210-2344
Enumeration Date
August 02, 2023
Last Updated
August 02, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
August 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)