Individual provider · Type 1 NPI

Thomas Miles Cook, LCSW

Clinical Social Worker · Fond Du Lac, WI

NPI number 1972666832 Active

Practice location

40 Camelot Dr
Fond Du Lac, WI 54935-8049

Call (920) 907-8201 Map

Mailing address

1271 Dublin Dr
Hartford, WI 53027-9763

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3948-123 (WI)

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 1972666832

Thomas Miles Cook, LCSW's National Provider Identifier is 1972666832, issued on Dec 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 8, 2007.