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MS. NICOLE M COOLEY LCSW, BCD
NPI 1073578969
Social Worker - Clinical in Fairfax, VA

Active since April 20, 2006
10301 DEMOCRACY LN STE 301302, FAIRFAX, VA 22030(571) 223-7588 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Nicole M Cooley Lcsw, Bcd NPPES

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

MS. NICOLE M COOLEY LCSW, BCD (NPI 1073578969) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904016120) and active in the NPI registry since April 2006. She maintains a secondary practice location in Andrews Afb.

NPPES Registry Identity

NPI1073578969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NICOLE M COOLEYCredential: LCSW, BCD
Location Address10301 DEMOCRACY LN STE 301302Fairfax, VA 22030-2545
Mailing Address1050 W. Perimeter Road Suite B5-19, 779 Medical GroupAndrews Afb, MD 20762
Phone(571) 223-7588
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1073578969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904016120✔ Licensed in TX · 35461
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.
10301 DEMOCRACY LN STE 301302, Fairfax, VA 22030
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Secondary Practice Location 1

Location 11050 W. Perimeter Road Suite B5-19, 779 Medical GroupAndrews AFB, MD 20762 · Phone (240) 857-7186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIRAH CORPORATION
Counselor (Mental Health)
10301 DEMOCRACY LN STE 301302
FAIRFAX, VA 22030
Fairfax City (571) 223-7588

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 Nicole Cooley's NPI number?

The NPI number for Nicole Cooley is 1073578969. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Nicole Cooley located?

Nicole Cooley practices at 10301 Democracy Ln Ste 301302, Fairfax, VA 22030. The listed phone number is (571) 223-7588.

What is Nicole Cooley's specialty?

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

What insurance does Nicole Cooley accept?

Health plans from Providence Health Plan list Nicole Cooley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Cooley was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.