Provider Demographics
NPI:1922679299
Name:COOPER, ERIN LINDSEY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LINDSEY
Last Name:COOPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LINDSEY
Other - Last Name:GALASSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 BURNAM CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1313
Mailing Address - Country:US
Mailing Address - Phone:859-321-0174
Mailing Address - Fax:
Practice Address - Street 1:217 BURNAM CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1313
Practice Address - Country:US
Practice Address - Phone:859-321-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2552481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical