National Provider Identifier
Kelley L Cook, LCSW
Kelley L Cook, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1548456007
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 19, 2007
- Last Updated
- April 18, 2014
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1548456007
- Entity Type
- Individual
- Last Name
- Cook
- First Name
- Kelley
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 127 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Mailing Fax
- (607) 273-7484
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Practice Fax
- (607) 273-7484
- Enumeration Date
- September 19, 2007
- Last Updated
- April 18, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)