Chrystal Cook, LCSW
Individual provider Active NPI Clinical Social Worker · Vinton, VA
NPI 1033832506 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1033832506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904013096 (VA)
- Practice address
- 260 Gunn Ave
Vinton, VA 24179-2014 - Phone
- (540) 206-6604
- NPI assigned
- Sep 20, 2022
- 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 |
|---|---|---|---|
| 0904013096 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904013096 | VA | Yes |
Addresses
Primary practice location
260 Gunn Ave
Vinton, VA 24179-2014
Mailing address
260 Gunn Ave
Vinton, VA 24179-2014
Phone (540) 206-6604
Other providers in Vinton, VA
- Amelia Clay
- Deborah Lynn Cobourn
- Commonwealth of Virginia State Board of Health
- Community Foot Care Center
- Amy L. Conforti
- Cundiff Drug Store Inc
- Danielle Davis
- Gerald Wayne Davis
- Taylor Dayton
- Dee Lemars Transportation Service LLC
All providers in Vinton, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. 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.