Provider Demographics
NPI:1669119657
Name:COOKE, CORINNE T (MSW)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:T
Last Name:COOKE
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 1:1619 E ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3301
Mailing Address - Country:US
Mailing Address - Phone:978-870-0856
Mailing Address - Fax:
Practice Address - Street 1:499 VAUGHN ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8550
Practice Address - Country:US
Practice Address - Phone:720-288-0283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker