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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134376783 | NPPES |
| New York | MEDICAID | 02921011 |
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