Provider Demographics
NPI:1891038592
Name:COOK, NAILAH (LCSW, LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:NAILAH
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:LCSW, LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14605 ELM ST UNIT 365
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-7516
Mailing Address - Country:US
Mailing Address - Phone:301-385-1235
Mailing Address - Fax:
Practice Address - Street 1:13803 CARLENE DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772
Practice Address - Country:US
Practice Address - Phone:301-385-1235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040079381041C0700X
DCLC500807891041C0700X
MD241141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical