JESSICA ANNE COOPER LCSWA
NPI 1639609415
Social Worker - Clinical in Roxboro, NC

Q: What is Jessica Cooper's NPI number?

The NPI number for Jessica Cooper is 1639609415. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Jessica Cooper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Cooper was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 14, 2017

702 N MAIN ST, ROXBORO, NC 27573(336) 599-9271(336) 599-0347 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2021, Jun 17, 2020, Jun 14, 2017 (3 updates tracked since 2017).

On this page

About Jessica Anne Cooper Lcswa NPPES

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

JESSICA ANNE COOPER LCSWA (NPI 1639609415) is an individual clinical provider in Roxboro, North Carolina, licensed in North Carolina (P011668) and active in the NPI registry since June 2017. She maintains a secondary practice location in Burgaw.

NPPES Registry Identity

NPI1639609415

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA ANNE COOPERCredential: LCSWA

Location Address702 N MAIN STRoxboro, NC 27573-4755

Mailing Address702 N Main StRoxboro, NC 27573-4755 · (336) 599-9271 · Fax (336) 599-0347

Phone(336) 599-9271

Fax(336) 599-0347

Sole ProprietorNo

Enumeration DateJune 14, 2017

Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1639609415 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 NC · P011668✔ Licensed in NC · C012319

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.

702 N MAIN ST, Roxboro, NC 27573

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Secondary Practice Location 1

Location 1803 S Walker StBurgaw, NC 28425-5001 · Phone (910) 259-0668

Other Identifiers 1

Medicaid1639609415NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 17

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

JULIE ANN THOMPSON FNP

Nurse Practitioner (Family)