Provider Demographics
NPI:1992787345
Name:COOPER, LOUISE F (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:F
Last Name:COOPER
Suffix:
Gender:
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 POWERS LANE
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477
Mailing Address - Country:US
Mailing Address - Phone:845-247-7021
Mailing Address - Fax:845-247-7021
Practice Address - Street 1:6 CHESTERS PL
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-1748
Practice Address - Country:US
Practice Address - Phone:914-204-9704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR00821911041C0700X
MA101839106H00000X
NYPR008219-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01964121Medicaid
N42831Medicare ID - Type Unspecified
NY01964121Medicaid