Provider Demographics
NPI:1598152357
Name:ROOK, LANI
Entity Type:Individual
Prefix:MS
First Name:LANI
Middle Name:
Last Name:ROOK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LANI
Other - Middle Name:
Other - Last Name:ROOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:808 COLUMBUS AVE
Mailing Address - Street 2:APT. 20N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5139
Mailing Address - Country:US
Mailing Address - Phone:617-448-4734
Mailing Address - Fax:
Practice Address - Street 1:808 COLUMBUS AVE
Practice Address - Street 2:APT. 20N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5139
Practice Address - Country:US
Practice Address - Phone:617-448-4734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087429-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker