Organization Name: | JANE COOKE,LCSW,ACSW,LLC |
NPI Number: | 1326418583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE COOKE (PSYCHOTHERAPIST) |
Mailing Address: | 100 S Main St Suite 2a North Wales |
State: | PA US |
Postal Code: | 194542847 |
Phone Number: | 2152807716 |
Fax Number: | 2159960520 |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |