COOPERATIVE THERAPY LLC
NPI 1780136945
Social Worker - Clinical in Kirkwood, MO

Active since November 03, 2016
412 S CLAY AVE, LOWER LEVEL, KIRKWOOD, MO 63122(314) 914-5762 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooperative Therapy Llc NPPES

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

COOPERATIVE THERAPY LLC (NPI 1780136945) is a healthcare organization registered as a clinical in Kirkwood, Missouri and active in the NPI registry since November 2016. The organization lists Jack Jacobsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1780136945
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOOPERATIVE THERAPY LLC
Location Address412 S CLAY AVE, LOWER LEVELKirkwood, MO 63122-5860
Mailing Address412 S Clay Ave, Lower LevelKirkwood, MO 63122-5860 · (314) 914-5762
Organization SubpartNo
Authorized OfficialJack JacobsenOwner · (314) 914-5762
Enumeration DateNovember 3, 2016
NPI 1780136945 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 MO · 2007031620
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.
412 S CLAY AVE, Kirkwood, MO 63122

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Counselor
412 S CLAY AVE, SUITE 201
SAINT LOUIS, MO 63122
Social Worker (Clinical)
412 S CLAY AVE, SUITE 200
KIRKWOOD, MO 63122
Community/Behavioral Health
412 S CLAY AVE, SUITE 200
SAINT LOUIS, MO 63122
Social Worker (Clinical)
412 S CLAY AVE
SAINT LOUIS, MO 63122
Social Worker (Clinical)
412 S CLAY AVE
KIRKWOOD, MO 63122

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 Cooperative Therapy LLC's NPI number?

The NPI number for Cooperative Therapy LLC is 1780136945. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Cooperative Therapy LLC located?

Cooperative Therapy LLC is located at 412 S Clay Ave Lower Level, Kirkwood, MO 63122. The listed phone number is (314) 914-5762.

What is Cooperative Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cooperative Therapy LLC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.