Healthcare Provider Details

I. General information

NPI: 1033045273
Provider Name (Legal Business Name): CARRINGTON COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311 CENTRAL AVE W
BLOUNTSTOWN FL
32424-1947
US

IV. Provider business mailing address

2415 AQUARIUS DR
CHIPLEY FL
32428-3023
US

V. Phone/Fax

Practice location:
  • Phone: 850-674-8888
  • Fax: 850-237-1223
Mailing address:
  • Phone: 850-573-3246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: