Active NPIIndividual providerSole proprietor

Ivelisses Cooke, LCSW

Social Worker, Clinical in Forked River, New Jersey

NPI Number1962952929
Practice location
743 Clifton St, Forked River, NJ 08731-1323
Fax
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Last updated
May 7, 2024

Ivelisses Cooke is a Social Worker, Clinical based in Forked River, NJ. Ivelisses Cooke practices in Forked River, NJ and has the professional credentials of LCSW. The NPI Number for Ivelisses Cooke is 1962952929 and holds a License No. 104237 (NY). The current practice location address for Ivelisses Cooke is 743 Clifton St, Forked River, NJ 08731-1323 and can be reached out via phone at 609-401-2566.

Provider Profile Details

NPI Number
1962952929
Provider Name
Ivelisses Cooke
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
743 Clifton St, Forked River, NJ 08731-1323
Phone Number
609-401-2566
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2016
Last Update Date
May 7, 2024
Certification Date
May 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
743 Clifton St
Forked River, NJ 08731-1323
Zip
08731-1323
Phone Number
609-401-2566
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
743 Clifton St
Forked River, NJ 08731-1323
City
Forked River
State
NJ
Zip
08731-1323

License Information

License Number (1)
104237
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
092959
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivelisses Cooke, LCSW?

The NPI number of Ivelisses Cooke, LCSW is 1962952929. It was assigned on October 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Ivelisses Cooke, LCSW?

Ivelisses Cooke, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 104237.

Where does Ivelisses Cooke, LCSW practice?

The practice location is 743 Clifton St, Forked River, NJ 08731-1323. The office can be reached at 609-401-2566 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962952929 directly on the NPPES registry website.

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