Kenneth Bruce Cook is a Clinical in Smyrna, Georgia. Kenneth Bruce Cook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Bruce Cook is 1295777183. The last update date is 2007-07-08.
Kenneth Bruce Cook's current location address is 1260 Concord Rd Se, Smyrna, Georgia. You can contact this provider via phone number 7704361879 and fax number 7704343005. The mailing address for Kenneth Bruce Cook is 1260 Concord Rd Se, Smyrna, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Bruce Cook |
|---|---|
| Address | 1260 Concord Rd Se, Smyrna, Georgia |
| Phone Number | 7704361879 |
| Fax Number | 7704343005 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295777183 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1260 Concord Rd Se |
|---|---|
| City | Smyrna |
| State | Georgia (GA) |
| Post Code | 300805306 |
| Phone Number | 7704361879 |
| Fax Number | 7704343005 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW000292 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CSW000292 | GA | LICENSED CLINICAL SOCIAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Bruce Cook by the Centers for Medicare & Medicaid Services?
The Kenneth Bruce Cook has been issued the NPI (National Provider Identifier) 1295777183, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Bruce Cook's facilities are situated?
The facilities of Kenneth Bruce Cook are physically located at the following address: 1260 Concord Rd Se, Smyrna, GA, 300805306.
What is Kenneth Bruce Cook's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Bruce Cook's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Kenneth Bruce Cook receive its 1295777183 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Bruce Cook was assigned its 1295777183 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Bruce Cook most recently updated?
The details pertaining to the Kenneth Bruce Cook, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX