Cook, Freda J

Cook, Freda J is an individual health care provider with primary practice located at 101 Jordan Dr , Chattanooga TN 37421. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cook, Freda J can be contacted via phone (423) 510-1999.

Contact Information

Primary practice address
101 Jordan Dr Chattanooga TN 37421
Phone: (423) 510-1999
Fax: (423) 510-1888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000000437 Tennessee
Behavioral Health & Social Service Providers / Social Worker 104100000X CSW002583 Georgia

Profile Details

NPI number 1184644452
LBN Legal business name Cook, Freda J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184644452 NPPES
Tennessee MEDICAID 3699593

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