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

Individual provider Clinical Social Worker · NPI 1639609415

Jessica Anne Cooper, LCSWA is a Clinical Social Worker in Roxboro, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

702 N Main St
Roxboro, NC 27573-4755
Phone: (336) 599-9271
Fax: (336) 599-0347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 803 S Walker St, Burgaw, NC 28425-5001 — (910) 259-0668

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P011668 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C012319 (NC)

Record details

NPI number1639609415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021

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