Individual provider Active NPI

Grace Kay Cooper, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1982425211
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23631 Issued in FL
Practice address
669 Hadley St E
Naples, FL 34104-0881
Phone
(239) 272-7706
NPI assigned
Oct 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW23631 FL Primary

Addresses

Primary practice location

669 Hadley St E
Naples, FL 34104-0881

Mailing address

1436 Songbird Dr Unit 2102
Naples, FL 34105-5112
Phone (239) 272-7706

Other practice location 1

8690 Daniels Pkwy
Fort Myers, FL 33912-0819
Phone (239) 272-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW23631FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling With Grace LLC Clinical CurrentSince Jan 5, 2025 Accepting new patients
Catholic Charities, Diocese of Venice Inc. PastSince Oct 1, 2024 Accepting new patients
Catholic Charities Diocese of Venice, Inc. PastSince Oct 1, 2024 Accepting new patients

Locations

8660 Daniels Pkwy
Fort Myers, FL 33912
Phone (239) 404-6649

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1982425211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 SONGBIRD DR UNIT 2102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055112",
            "telephone_number": "239-272-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 HADLEY ST E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341040881",
            "telephone_number": "239-272-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8690 Daniels Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339120819",
            "country_code": "US",
            "telephone_number": "239-272-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "GRACE",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.