Provider Demographics
NPI:1700060076
Name:AARONS-COOKE, SHAWNA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:SHAWNA MARIE
Middle Name:
Last Name:AARONS-COOKE
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:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10802-0446
Mailing Address - Country:US
Mailing Address - Phone:917-740-6449
Mailing Address - Fax:
Practice Address - Street 1:200 NORTH AVENUE, SUITE 4
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6447
Practice Address - Country:US
Practice Address - Phone:917-740-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2018-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075878104100000X
NY0787761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker