Individual
MS. NANCY ELIZABETH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 STEELE ST, SUITE 113, BURLINGTON, VT 05401-6204
(802) 862-2383
Mailing address
94 S MAPLE ST, VERGENNES, VT 05491-1221
(802) 349-6269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001073
VT
1041C0700X
Clinical Social Worker
0904005243
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068650
BCBS OF VERMONT
VT
05
—
1011569
—
VT
01
—
2155778
CIGNA
VT
01
—
383794
MVP
VT
01
—
7658395
AETNA
VT
Enumeration date
02/05/2007
Last updated
07/08/2007
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