LISA COOPER (LICSW) – Clinical Social Worker, NPI 1942361605

LISA COOPER (LICSW) is a healthcare provider. based in Seattle, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW00006325 (WA). The NPI Number for LISA COOPER (LICSW) is 1942361605

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
LISA COOPER (LICSW)
NPI
1942361605
Phone
(206) 302-2200
Address
1600 E OLIVE ST
Enumeration Date
13 December 2006
Last Update Date
19 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2069012000
Graduation Year
1991 (35 years ago)
PAC ID
8325088297
Group Practice PAC ID
1759282197
Professional Enrollment ID
I20101022000270
Address ID
WA980052324BE13555RDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,397 CLINICAL SOCIAL WORKER in WA

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Provider Addresses for LISA COOPER (LICSW)

  • 1600, East Olive Street, Capitol Hill, Seattle, King County, Washington, 98122, United States

    SOUND MENTAL HEALTH

    SEATTLE, WA 981222735

    Phone: (206) 302-2200

    Fax: (206) 302-2210

    Type: Mailing

  • 6100, Southcenter Boulevard, Tukwila, King County, Washington, 98188, United States

    THIRD FLOOR

    TUKWILA, WA 981882441

    Phone: (206) 444-7930

    Fax: (206) 444-7910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101022000270IClinical Social WorkerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759282197View full group profile
NameSpecialtyState
-WA
Nurse PractitionerWA
Physician AssistantWA
P S Y C H I A T R YWA
Mental Health CounselorWA
Mental Health CounselorWA
Mental Health CounselorWA
-WA
Mental Health CounselorWA
Mental Health CounselorWA

Reviews

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Frequently asked questions

How do payers reference LISA COOPER (LICSW)?
For LISA COOPER (LICSW), use NPI 1942361605 as the unique 10-digit identifier.
Is LISA COOPER (LICSW) shown as active in public data?
Registry records indicate LISA COOPER (LICSW) maintains an active NPI.
What clinical focus is listed for LISA COOPER (LICSW)?
At a glance, LISA COOPER (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is LISA COOPER (LICSW) located near Seattle?
LISA COOPER (LICSW) currently maps to Seattle, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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