MEDICARE: WILLIAM COOPER CSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	CSW00001203	KY

General Provider Information

NPI Number	:	1972468882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM COOPER CSW

Provider Business Mailing Address
First Line	:	399 RETRAC RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-4379
Country	:	US
Telephone Number	:	615-663-7338
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 ARBOR CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-3321
Country	:	US
Telephone Number	:	859-233-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ WILLIAM COOPER CSW” Practice Location

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