Individual
MRS. KIMBERLY LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1312 SPRING CREEK RD, CHATTANOOGA, TN 37412-3918
(877) 358-2998
Mailing address
1101 W 40TH ST, CHATTANOOGA, TN 37409-3101
(423) 486-0774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009757
VA
1041C0700X
Clinical Social Worker
11609
MD
1041C0700X
Clinical Social Worker
120220
IA
1041C0700X
Clinical Social Worker
239
SC
1041C0700X
Clinical Social Worker
Primary
6757
TN
1041C0700X
Clinical Social Worker
68
FL
1041C0700X
Clinical Social Worker
C012712
NC
1041C0700X
Clinical Social Worker
CSW007326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213184C
—
GA
05
—
215422ZDV
—
VA
05
—
447380900
—
MD
05
—
Q048467
—
TN
Enumeration date
05/08/2006
Last updated
01/15/2025
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