NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CARRIE E COOK, LISW-S
713 W GRAND AVE
DAYTON, OH45406-5327
 Phone: 937-719-0255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CARRIE E COOK · (Female)

NPI # 1003002684
Status Active
Credentials LISW-S
Entity Individual
Enumeration date 09/18/2007
Last updated 03/24/2017 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # I.1501349-SUPV
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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