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STACEY COOPER LCSW
NPI 1134615305
Social Worker - Clinical in Nampa, ID

Active since July 10, 2018Opted out of Medicare · through Dec 11, 2026
97 N 29TH ST, NAMPA, ID 83687(208) 603-4930(208) 205-8062 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Jul 10, 2018 (2 updates tracked since 2018).

About Stacey Cooper Lcsw NPPES

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

STACEY COOPER LCSW (NPI 1134615305) is an individual clinical provider in Nampa, Idaho, licensed in Idaho (LCSW-42921) and active in the NPI registry since July 2018. She has opted out of Medicare through December 11, 2026.

NPPES Registry Identity

NPI1134615305
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY COOPERCredential: LCSW
Location Address97 N 29TH STNampa, ID 83687-3669
Mailing Address97 N 29th StNampa, ID 83687-3669 · (208) 603-4930 · Fax (208) 205-8062
Phone(208) 603-4930
Fax(208) 205-8062
Sole ProprietorYes
Enumeration DateJuly 10, 2018
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1134615305 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 ID · LCSW-42921✔ Licensed in OR · L14940
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.
97 N 29TH ST, Nampa, ID 83687
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Stacey Cooper Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Stacey Cooper's NPI number?

The NPI number for Stacey Cooper is 1134615305. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Stacey Cooper located?

Stacey Cooper practices at 97 N 29th St, Nampa, ID 83687. The listed phone number is (208) 603-4930.

What is Stacey Cooper's specialty?

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

Is Stacey Cooper enrolled in Medicare?

No. Stacey Cooper has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stacey Cooper accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Stacey Cooper 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 Stacey Cooper was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.