Provider Demographics
NPI:1942874425
Name:COOK, ASHLEY LEEAIRE (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEEAIRE
Last Name: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 1:32110 S ZEPHYR CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-2043
Mailing Address - Country:US
Mailing Address - Phone:302-725-8788
Mailing Address - Fax:
Practice Address - Street 1:32110 S ZEPHYR CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956-2043
Practice Address - Country:US
Practice Address - Phone:302-725-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical