Healthcare Provider Details

I. General information

NPI: 1972664266
Provider Name (Legal Business Name): CHERYL ZOOK MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WRAMC DEPARTMENT 6900 GEORGIA AVE NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

2 WRAMC ROOM 2J38 6900 GEORGIA AVE. NW
WASHINGTON DC
20307-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6471
  • Fax: 202-782-3726
Mailing address:
  • Phone: 202-782-6471
  • Fax: 202-782-3726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0006064
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: