Provider Demographics
NPI:1083757223
Name:COOKE, ADRIENNE E (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:E
Last Name:COOKE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1113
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-0071
Mailing Address - Country:US
Mailing Address - Phone:914-548-0040
Mailing Address - Fax:
Practice Address - Street 1:100 E 1ST ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3414
Practice Address - Country:US
Practice Address - Phone:914-813-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050783-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical