Individual provider · Type 1 NPI

Michael David Cooke, LCSW-R

Clinical Social Worker · Owego, NY

NPI number 1285789180 Active

Practice location

1062 State Route 38
Owego, NY 13827

Fax (607) 687-6396

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17573 (NY)
Clinical Social Worker 1041C0700X067008-1 (NY)
Clinical Social Worker Primary 1041C0700X079001 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1285789180

Michael David Cooke, LCSW-R's National Provider Identifier is 1285789180, issued on Jan 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Owego, NY. The record was last updated on Dec 31, 2013.