Cook, Casey L

Cook, Casey L is an individual health care provider with primary practice located at 167 Polk Street Suite 300, Watertown NY 13601-2770. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cook, Casey L can be contacted via phone (315) 782-7445.

Contact Information

Primary practice address
167 Polk Street Suite 300 Watertown NY 13601-2770
Phone: (315) 782-7445
Fax: (315) 779-1184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 095113 New York

Profile Details

NPI number 1134376783
LBN Legal business name Cook, Casey L
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Sep 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134376783 NPPES
New York MEDICAID 02921011

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