Kathleen Cooley, LMSW, LCSW
Individual provider Active NPI Clinical Social Worker · Mesick, MI
NPI 1215554696 · NPPES record last updated Jul 1, 2020
Key facts
- NPI
- 1215554696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801033979 (MI)
- Practice address
- 581 S. Clark Street
Mesick, MI 49668 - Phone
- (231) 885-1200
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801033979 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801033979 | MI | Yes |
Addresses
Primary practice location
581 S. Clark Street
Mesick, MI 49668
Mailing address
2076 W 16 Rd
Mesick, MI 49668
Other providers in Mesick, MI
- A Better Choice Chiropractic PLLC
- Lucy Ann Arnold
- Nicole Ball
- Laurie D Barnes
- Bruce Edward Cain
- Mesick Dental Center, PC
- Mesick Pharmacy Inc
- Mesick Rescue Squad Inc.
- Renee Lynn Russell-Schaub
- Van Skyhock Chiropractic Health Center LLC
All providers in Mesick, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.