Individual provider · Type 1 NPI

Terry Clark Cook, L.C.S.W., C.C.M.

Clinical Social Worker · Long Beach, CA

NPI number 1669785200 Active

Practice location

5901 E 7th St Bldg 128
Long Beach, CA 90822-5201

Fax (562) 826-5270

Mailing address

600 E Ocean Blvd Apt 501
Long Beach, CA 90802-5009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18135 (CA)

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 1669785200

Terry Clark Cook, L.C.S.W., C.C.M.'s National Provider Identifier is 1669785200, issued on Jul 26, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Jul 12, 2011.