IndividualActive
Alice Cooper, LCSW
NPI 1073036661 · Clinical Social Worker · Atlanta, GA
Provider details
- NPI number
- 1073036661
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW004531 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12 Executive Park Drive
Atlanta, GA 30322-4200
Phone: (404) 686-6515
Approximate (ZIP-level) locationGet directions
Mailing address
1525 Clifton Rd Ne Ste 483
Atlanta, GA 30322-4200
Registry dates
- Enumerated
- 2017-07-25
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.