Michael David Cooke in Owego - Clinical

Michael David Cooke - NPI 1285789180

Michael David Cooke is a Clinical in Owego, New York. Michael David Cooke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael David Cooke is 1285789180. The last update date is 2013-12-31.

Michael David Cooke's current location address is 1062 State Route 38, Owego, New York. You can contact this provider via phone number 6076874000 and fax number 6076876396. The mailing address for Michael David Cooke is 1062 State Route 38, Owego, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael David Cooke
Address 1062 State Route 38, Owego, New York
Phone Number 6076874000
Fax Number 6076876396
Sole Proprietor N
Credentials LCSW-R

NPI Number Detail

NPI Number 1285789180
Provider Enumeration Date 2007-01-24
Last Updated Date 2013-12-31

Provider Mailing Address Detail

Address 1062 State Route 38
City Owego
State New York (NY)
Post Code 138273209
Phone Number 6076874000
Fax Number 6076876396

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 067008-1
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
618162 NY --
17573 NY CASAC CREDENTIAL NUMBER
79001 NY LCSW LICENSE NUMBER
067008-1 NY LMSW LICENSE NUMBER

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FAQs about Michael David Cooke

What is the unique 10-digit identification code issued to Michael David Cooke by the Centers for Medicare & Medicaid Services?

The Michael David Cooke has been assigned the NPI (National Provider Identifier) 1285789180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Michael David Cooke's facilities are situated?

The facilities of Michael David Cooke are physically located at the following address: 1062 State Route 38, Owego, NY, 138273209.

What is the Michael David Cooke's specialty and taxonomy code?

The Michael David Cooke's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285789180 to Michael David Cooke?

The Centers for Medicare & Medicaid Services originally issued the 1285789180 to Michael David Cooke on 2007-01-24.

As of what date was the information regarding Michael David Cooke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael David Cooke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-31.

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