Mrs Priscilla D Cooke, MSW, LCSW, LCAS is a
Counselor - Mental Health based in Kannapolis, North Carolina. Mrs Priscilla D Cooke is licensed to practice in North Carolina (license number C002692) and her current practice location is
119 West Ave, Kannapolis, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 630-6634.
NPI number for Mrs Priscilla D Cooke is 1093805194 and her current mailing address is 250 Post Oak Rd, Kernersville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093805194.
Healthcare Provider's Profile
| Full Name | Mrs Priscilla D Cooke |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 119 West Ave, Kannapolis, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093805194
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 06/10/2013
Medical Identifiers
Medical identifiers for Mrs Priscilla D Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093805194 | NPI | - | NPPES |
| 6003167 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | C002692 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | C002692 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1369 (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Priscilla D Cooke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Priscilla D Cooke, MSW, LCSW, LCAS
250 Post Oak Rd,
Kernersville, NC 27284-8027
Ph: (336) 993-1859 | Mrs Priscilla D Cooke, MSW, LCSW, LCAS
119 West Ave,
Kannapolis, NC 28081-4332
Ph: (704) 630-6634 |
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