Cooper, Kezia

Cooper, Kezia is an sole proprietor health care provider with primary practice located at 45 Pine Grove Ave Ste 217 , Kingston NY 12401-5472. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooper, Kezia can be contacted via phone (845) 481-0517.

Contact Information

Primary practice address
45 Pine Grove Ave Ste 217 Kingston NY 12401-5472
Phone: (845) 481-0517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 091559 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-084823 New York

Profile Details

NPI number 1528455193
LBN Legal business name Cooper, Kezia
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2015
Last updated Aug 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528455193 NPPES
New York Other R-084823 NYS OFFICE OF PROFESSIONS

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