Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cooperative Therapy LLC

Organization Clinical Social Worker · NPI 1780136945

Cooperative Therapy LLC is a Clinical Social Worker in Kirkwood, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 S Clay Ave Lowr Level
Kirkwood, MO 63122-5860
Phone: (314) 914-5762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2007031620 (MO)

Record details

NPI number1780136945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Jacobsen — Owner · (314) 914-5762
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016
Mailing address412 S Clay Ave, Lower Level, Kirkwood, MO 63122-5860

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