MEDICARE: MS. SARAH THERESA COOK L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW014298	PA

General Provider Information

NPI Number	:	1740498344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH THERESA COOK L.C.S.W.

Provider Business Mailing Address
First Line	:	6315 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1745
Country	:	US
Telephone Number	:	412-583-7345
Fax Number	:	412-422-1126

Provider Business Practice Location Address
First Line	:	6315 FORBES AVE STE L115
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1723
Country	:	US
Telephone Number	:	412-583-7345
Fax Number	:	412-422-1126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	06/14/2023

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