Individual provider · Type 1 NPI

Blake Cook

Clinical Social Worker · Passaic, NJ

NPI number 1962020040 Active

Practice location

85 Crescent Ave
Passaic, NJ 07055-2437

Mailing address

16 Schmitt Rd
West Orange, NJ 07052-2227

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05454100 (NJ)

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 1962020040

Blake Cook's National Provider Identifier is 1962020040, issued on Jul 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Passaic, NJ. The record was last updated on Jul 8, 2020.