Provider Demographics
NPI:1437585536
Name:GILGUR-COOK, STELLA (LCSW)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:GILGUR-COOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 HOOSICK ST
Mailing Address - Street 2:STE 203
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2450
Mailing Address - Country:US
Mailing Address - Phone:518-238-6028
Mailing Address - Fax:518-348-1279
Practice Address - Street 1:410 E 92ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6881
Practice Address - Country:US
Practice Address - Phone:212-369-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07736411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical