Jerome Vincent Cooke in Dallas - Clinical
Jerome Vincent Cooke - NPI 1174792188
Jerome Vincent Cooke is a Clinical in Dallas, Texas. Jerome Vincent Cooke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome Vincent Cooke is 1174792188. The last update date is 2013-01-30.
Jerome Vincent Cooke's current location address is 4500 S Lancaster Rd, Dallas, Texas. You can contact this provider via phone number 9035836533. The mailing address for Jerome Vincent Cooke is 4500 S Lancaster Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Vincent Cooke |
|---|---|
| Address | 4500 S Lancaster Rd, Dallas, Texas |
| Phone Number | 9035836533 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174792188 |
|---|---|
| Provider Enumeration Date | 2008-02-23 |
| Last Updated Date | 2013-01-30 |
Provider Mailing Address Detail
| Address | 4500 S Lancaster Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752167167 |
| Phone Number | 9035836533 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 51003 |
|
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 |
|---|---|---|---|
| 51003 | TX | TEXAS STATE BOARD OF SOCIAL WO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerome Vincent Cooke by the Centers for Medicare & Medicaid Services?
The Jerome Vincent Cooke has been issued the NPI (National Provider Identifier) 1174792188, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerome Vincent Cooke's physical address?
The Jerome Vincent Cooke is physically located at 4500 S Lancaster Rd, in the city of Dallas, TX, with the postal code 752167167.
What is the Jerome Vincent Cooke's area of specialization and corresponding taxonomy classification?
The Jerome Vincent Cooke's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1174792188 to Jerome Vincent Cooke?
The Jerome Vincent Cooke received its 1174792188 assignment from the Centers for Medicare & Medicaid Services on 2008-02-23.
As of what date were the Jerome Vincent Cooke's details last updated?
The information pertaining to the Jerome Vincent Cooke, including its address, specialty, and other details, was most recently updated on 2013-01-30.