Healthcare Provider Details

I. General information

NPI: 1326345125
Provider Name (Legal Business Name): JOY E COOK LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SOUTH ST
BARRE MA
01005-0232
US

IV. Provider business mailing address

210 GREEN AVE
BELCHERTOWN MA
01007-9833
US

V. Phone/Fax

Practice location:
  • Phone: 413-668-8535
  • Fax: 978-355-3502
Mailing address:
  • Phone: 413-668-8535
  • Fax: 978-355-3502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116054
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: