Provider Demographics
NPI:1962136770
Name:COOK, ISABEL CATHERINE (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:CATHERINE
Last Name:COOK
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 GYPSY LN
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3725
Mailing Address - Country:US
Mailing Address - Phone:610-329-4614
Mailing Address - Fax:
Practice Address - Street 1:390 GYPSY LN
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3725
Practice Address - Country:US
Practice Address - Phone:610-329-4614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP017296104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker