Tabitha Nichole Cook, LCSW-A
Individual provider Active NPI Clinical Social Worker · Mount Pleasant, NC
NPI 1023487519 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1023487519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P009780 (NC)
- Practice address
- 8894 Oldenburg Dr
Mount Pleasant, NC 28124-8543 - Phone
- (704) 652-2544
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009780 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P009780 | NC | Yes |
Addresses
Primary practice location
8894 Oldenburg Dr
Mount Pleasant, NC 28124-8543
Mailing address
8894 Oldenburg Dr
Mount Pleasant, NC 28124-8543
Phone (704) 652-2544
Other providers in Mount Pleasant, NC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Stephen Merrill Causey
- CMC-Northeast, Inc.
- Evan Conner Devitto
- Celeste Marie Dinzeo
- Lolo Dobson
- Tommy Kaye Earnhardt
- Jada Elleby
All providers in Mount Pleasant, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.