Elizabeth Marie Cooke, LCSW

Individual provider Active NPI Clinical Social Worker · Rhinebeck, NY

NPI 1306197280 · NPPES record last updated Apr 19, 2017

Key facts

NPI
1306197280
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
085211 (NY)
Practice address
44 Primrose Hill Rd
Rhinebeck, NY 12572-2627
Phone
(917) 856-2791
NPI assigned
Oct 2, 2012
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

LicenseStateTypeSpecialty
085211NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085211 NY Yes

Addresses

Primary practice location

44 Primrose Hill Rd
Rhinebeck, NY 12572-2627

Mailing address

44 Primrose Hill Rd
Rhinebeck, NY 12572-2627
Phone (917) 856-2791

Other providers in Rhinebeck, NY

All providers in Rhinebeck, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.