Terry Clark Cook, L.C.S.W., C.C.M.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18135 Issued in CA

Practice address

5901 E 7TH St BLDG 128
Long Beach, CA 90822-5201

Phone

(562) 826-8000

Fax

(562) 826-5270

NPI assigned

Jul 26, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1669785200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E OCEAN BLVD APT 501",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025009",
            "telephone_number": "760-641-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST BLDG 128",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TERRY",
        "middle_name": "CLARK",
        "credential": "L.C.S.W., C.C.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Convery, MD
• Amber Cook
• Brittney Kathleen Cook, PHARMD
• Hannah Elizabeth Cook
• Krystal E Cook, M.A.
• Tyrell Cook
• Eileen Cooke, PTA
• Christina Cooley, MD
• Niyah Cooley
• Olivia Coomer

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.