Cook, Stacie Chisolm
Cook, Stacie Chisolm is an sole proprietor health care provider with primary practice located at 560 Mckoy St , Decatur GA 30030-4950. 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, Stacie Chisolm can be contacted via phone (404) 438-2347.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3508 | Georgia |
Profile Details
| NPI number | 1992855431 |
|---|---|
| LBN Legal business name | Cook, Stacie Chisolm |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Feb 6th, 2012 - about 12 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 | 1992855431 | NPPES |
| Georgia | MEDICAID | 633486737A |
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