Provider Demographics
NPI:1457027823
Name:COOK, JANELLE KATHRYN (MSW)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:KATHRYN
Last Name:COOK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 DUNN CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5678
Mailing Address - Country:US
Mailing Address - Phone:816-868-9129
Mailing Address - Fax:
Practice Address - Street 1:2 EATON ST STE 300
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4095
Practice Address - Country:US
Practice Address - Phone:757-964-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical