Individual
MS. CHRISTINE ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11701 BOWMAN GREEN DR, RESTON, VA 20190
(703) 434-0255
(703) 644-1383
Mailing address
7113 TANWORTH DR, SPRINGFIELD, VA 22152
(703) 434-0255
(703) 644-1383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005822
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172232
ANTHEM
—
01
—
2131708
MAMSI
—
01
—
2237372
CIGNA
—
01
—
250725
KAISER
—
01
—
351226
MHN
VA
01
—
351226
TRICARE
—
01
—
699685
NCPPO
—
01
—
9360114
PHCS
—
01
—
K449
CARE FIRST
—
Enumeration date
12/12/2006
Last updated
07/08/2007
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