Healthcare Provider Details

I. General information

NPI: 1659208098
Provider Name (Legal Business Name): SEAN WESLEY COOPER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 CENTRAL ST
LOWELL MA
01852-2609
US

IV. Provider business mailing address

255 HILDRETH ST
LOWELL MA
01850-1518
US

V. Phone/Fax

Practice location:
  • Phone: 978-674-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: