Provider Demographics
NPI:1669960423
Name:ANGELINI-COOKE, EDWARD HALL (MSW)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:HALL
Last Name:ANGELINI-COOKE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2116
Mailing Address - Country:US
Mailing Address - Phone:919-649-4966
Mailing Address - Fax:
Practice Address - Street 1:412 W 39TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2116
Practice Address - Country:US
Practice Address - Phone:919-649-4966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty