Jean Conrad Cook in Kirkland - Clinical

Jean Conrad Cook - NPI 1487776183

Jean Conrad Cook is a Clinical in Kirkland, Washington. Jean Conrad Cook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean Conrad Cook is 1487776183. The last update date is 2007-07-08.

Jean Conrad Cook's current location address is 12711 Ne 129th Ct, Kirkland, Washington. You can contact this provider via phone number 4258232324 and fax number 4258258414. The mailing address for Jean Conrad Cook is 12711 Ne 129th Ct, Kirkland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean Conrad Cook
Address 12711 Ne 129th Ct, Kirkland, Washington
Phone Number 4258232324
Fax Number 4258258414
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1487776183
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12711 Ne 129th Ct
City Kirkland
State Washington (WA)
Post Code 980343266
Phone Number 4258232324
Fax Number 4258258414

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LW00005818
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
GAB09870 ELECTRONIC PIN
A214916 WA VALUE OPTIONS
C08846 WA REGENCE
4412667 WA AETNA

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FAQs about Jean Conrad Cook

What is the unique 10-digit identifier code assigned to Jean Conrad Cook by the Centers for Medicare & Medicaid Services?

The Jean Conrad Cook has been issued the NPI (National Provider Identifier) 1487776183 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Jean Conrad Cook located?

The Jean Conrad Cook is located at 12711 Ne 129Th Ct, Kirkland, WA 980343266.

What is Jean Conrad Cook's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jean Conrad Cook is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487776183 to Jean Conrad Cook?

The Centers for Medicare & Medicaid Services assigned the 1487776183 to Jean Conrad Cook on 2007-04-04.

As of what date were the Jean Conrad Cook's details last updated?

The information pertaining to the Jean Conrad Cook, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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