NPI 1003917691

Carol F Cook, LCSWMSWACSW

Practitioner Clinical Social Worker Lafayette, IN

Practice location

Address: 3660 Rome Dr, Lafayette, IN 47905-4488
Phone: (765) 446-9394
Fax: (765) 447-8875
Mailing address: 806 Kent Ave, West Lafayette Bra, IN 47906-1549

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34003263A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1003917691
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.