Cristal Lynn Cook, LCSW
Individual provider Active NPI Clinical Social Worker · Mancos, CO
NPI 1508856451 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1508856451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 306 (CO)
- Practice address
- 459 Bauer Avenue
Mancos, CO 81328 - Phone
- (720) 710-6472
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| C053700518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW-20768 | AZ | MD | Clinical Social Worker |
| 306 | CO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C053700518 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-20768 | AZ | |
| Clinical Social Worker | 1041C0700X | 306 | CO | Yes |
Addresses
Primary practice location
459 Bauer Avenue
Mancos, CO 81328
Mailing address
PO Box 539
Mancos, CO 81328-0539
Phone (720) 710-6472
Other providers in Mancos, CO
- Diane Marie Carson
- Charles Vojta OD LTD
- Kellie Cline
- Cole Awdish LPC LLC
- Colorado Compassionate Care Corp
- Cortez Physical Therapy
- Diane Jo Dettloff
- Danielle Dipiro
- Jean Frances Ernst
- Essence of Healing, PC
All providers in Mancos, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 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.