Healthcare Provider Details

I. General information

NPI: 1942874425
Provider Name (Legal Business Name): ASHLEY LEEAIRE COOK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17099 COUNTY SEAT HWY
GEORGETOWN DE
19947-4865
US

IV. Provider business mailing address

1515 SAVANNAH RD FL 2
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-271-2522
  • Fax: 833-448-2988
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberQ1-0011901
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: