Mr Kevin Keith Sutton Cook, LPC | |
125 Crest Haven Rd, Cape May Court House, NJ 08210-1652 | |
(609) 465-4100 | |
(609) 465-2588 |
Full Name | Mr Kevin Keith Sutton Cook |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 125 Crest Haven Rd, Cape May Court House, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518226695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 37PC00430800 (New Jersey) | Primary |
Entity Name | Optimal Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366902181 PECOS PAC ID: 9931548534 Enrollment ID: O20240416000935 |
Mailing Address | Practice Location Address |
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Mr Kevin Keith Sutton Cook, LPC Po Box 2531, Wildwood, NJ 08260-8531 Ph: (814) 504-4923 | Mr Kevin Keith Sutton Cook, LPC 125 Crest Haven Rd, Cape May Court House, NJ 08210-1652 Ph: (609) 465-4100 |
Michele C. Blair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 S Main St, Cape May Court House, NJ 08210 Phone: 609-465-7788 Fax: 609-465-2005 | |
Kelly Winters, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 Crest Haven Rd, Cape May Court House, NJ 08210 Phone: 844-422-3632 | |
Emanuel Perry, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 Crest Haven Rd, Cape May Court House, NJ 08210 Phone: 844-422-3632 | |
Dawn Marie Nemeth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 Crest Haven Rd, Cape May Court House, NJ 08210 Phone: 609-465-4100 | |
Ms. Anne Catherine Hogue, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 Crest Have Rd, Cape May Court House, NJ 08210 Phone: 609-465-4100 | |
Mrs. Christine M Lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 223 S Main St, Cape May Court House, NJ 08210 Phone: 609-465-7788 Fax: 609-465-2005 | |
Shaina Tinsley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 128 Crest Haven Rd, Cape May Court House, NJ 08210 Phone: 844-422-3632 |