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SHAQUILLA N COOPER DSW, TCM, LCSW
NPI 1003476466
Social Worker - Clinical in Louisville, KY

Active since June 18, 2019PECOS Enrolled
1828 BOLLING AVE, LOUISVILLE, KY 40210(502) 536-7245(502) 963-5135 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 1, 2024, Oct 24, 2023, Jul 18, 2019 and 1 more (4 updates tracked since 2019).

About Shaquilla N Cooper Dsw, Tcm, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAQUILLA N COOPER DSW, TCM, LCSW (NPI 1003476466) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (254214) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1003476466
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAQUILLA N COOPERCredential: DSW, TCM, LCSW
Location Address1828 BOLLING AVELouisville, KY 40210-1908
Mailing Address1828 Bolling AveLouisville, KY 40210-1908 · (502) 618-9205 · Fax (502) 963-5135
Phone(502) 536-7245
Fax(502) 963-5135
Sole ProprietorYes
Enumeration DateJune 18, 2019
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1003476466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 254214
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1828 BOLLING AVE, Louisville, KY 40210
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Secondary Practice Location 1

Location 1849 S 37th StLouisville, KY 40211-2811 · Phone (502) 536-7245 · Fax (502) 963-5135

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaquilla N Cooper Dsw, Tcm, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaquilla Cooper's NPI number?

The NPI number for Shaquilla Cooper is 1003476466. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Shaquilla Cooper located?

Shaquilla Cooper practices at 1828 Bolling Ave, Louisville, KY 40210. The listed phone number is (502) 536-7245.

What is Shaquilla Cooper's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shaquilla Cooper enrolled in Medicare?

Yes. Shaquilla Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaquilla Cooper was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.