Cooke, Ivelisses

Cooke, Ivelisses is an sole proprietor health care provider with primary practice located at 743 Clifton St , Forked River NJ 08731-1323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cooke, Ivelisses can be contacted via phone (609) 401-2566.

Contact Information

Primary practice address
743 Clifton St Forked River NJ 08731-1323
Phone: (609) 401-2566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 104237 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 092959 New York

Profile Details

NPI number 1962952929
LBN Legal business name Cooke, Ivelisses
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2016
Last updated May 7th, 2024 - about 6 months 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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