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

Jody Cooper, LICSW, PLLC

Organization Clinical Social Worker · NPI 1790631117

Jody Cooper, LICSW, PLLC is a Clinical Social Worker in Boston, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 Broad St Ste 81794
Boston, MA 02109-4301
Phone: (978) 712-0364
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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

Record details

NPI number1790631117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Cooper — Owner / Practitioner · (978) 712-0364
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address56 Broad St Ste 81794, Boston, MA 02109-4301

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