Bryana Cook, MSW, LGSW
Individual provider Active NPI Clinical Social Worker · Hackensack, MN
NPI 1861978553 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1861978553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 22113 (MN)
- Practice address
- 112 Highway 371 S
Hackensack, MN 56452-2638 - Phone
- (218) 675-5101
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 22113 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Lake Counseling LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22113 | MN | Yes |
Addresses
Primary practice location
112 Highway 371 S
Hackensack, MN 56452-2638
Mailing address
112 Highway 371 S
Hackensack, MN 56452-2638
Phone (218) 675-5101
Other providers in Hackensack, MN
- Kate Jodell Beaman Friesner
- Birch Lake Counseling LLC
- Barbara Ann Clemens
- Rachal Aasa Cross
- Jennifer A Dalgarno
- Linnea Frances Dietrich
- Faith in Action for Cass County
- Luann Gravelle
All providers in Hackensack, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. 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.