IndividualActive
Addison Cooper, LCSW
NPI 1578809463 · Clinical Social Worker · San Bernardino, CA
Provider details
- NPI number
- 1578809463
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 27804 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1881 Business Center Dr Ste 10a
San Bernardino, CA 92408-3438
Phone: (909) 890-2381
Approximate (ZIP-level) locationGet directions
Mailing address
1881 Business Center Dr Ste 10a
San Bernardino, CA 92408-3438
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2017-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.