Cook, Kathleen Anne
Cook, Kathleen Anne is an individual health care provider with primary practice located at 1817 Miami St , South Bend IN 46613-2821. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cook, Kathleen Anne can be contacted via phone (574) 234-3111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 34002108A | Indiana |
Profile Details
| NPI number | 1427114339 |
|---|---|
| LBN Legal business name | Cook, Kathleen Anne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427114339 | NPPES |
| Indiana | Other | 34002108A | SOCIAL WORK LICENSE |
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