Provider Demographics
NPI:1740498344
Name:COOK, SARAH THERESA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:THERESA
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 1:6315 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1745
Mailing Address - Country:US
Mailing Address - Phone:412-583-7345
Mailing Address - Fax:412-422-1126
Practice Address - Street 1:6315 FORBES AVE STE L115
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1723
Practice Address - Country:US
Practice Address - Phone:412-583-7345
Practice Address - Fax:412-422-1126
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0142981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACO070132Medicare ID - Type Unspecified