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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENYETTA LOVELEE COOPER, LSCW, LCAS, CCS

Active

KENYETTA LOVELEE COOPER, LSCW, LCAS, CCS is a Clinical Social Worker healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1124687058 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FAYETTEVILLE, NC

Registration Details

NPI Number
1124687058
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2019 (7.155870973791 yrs)
Last Updated
Oct 17, 2025
Licenses
C013964 (NC)
CCS-21827 (NC)
LCAS-25591 (NC)

Practice Information

Address
5416 RAEFORD RD STE A
FAYETTEVILLE, NC, 283043157
Browse NC providers · Browse ZIP 28304
Phone
7047778858
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FAYETTEVILLE, NC

Name Credential NPI
LAURA H. TAYLOR LCSW 1164426904
LINDA D. ALKOVE LCSW 1558365486
RICHARD R. ZEIBER ACSW, LCSW 1043214885
MISS CAROLYN MARAK CARPENTER MSW, LCSW 1588661441
MRS. DORIS ANN MOORE-RUSSELL LCSW 1255321592
MR. ERNEST NEERGAARD PEDERSEN LCSW 1396726352
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.