Individual provider · Type 1 NPI

Ivy Alyssa Cook

Clinical Social Worker · Laurinburg, NC

NPI number 1619636479 Active

Practice location

821 S Main St
Laurinburg, NC 28352-4724

Fax (910) 506-2201

Mailing address

402 Harris Ave
Raeford, NC 28376-3112

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018463 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-27726 (NC)

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 1619636479

Ivy Alyssa Cook's National Provider Identifier is 1619636479, issued on Dec 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laurinburg, NC. The record was last updated on Mar 26, 2026.