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General NPI Number Information
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NPI Number | 1235188491
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Entity Type | Individual
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Provider Name | KIMBERLY LYNN COOK LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1312 SPRING CREEK RD
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City | CHATTANOOGA
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State | TN
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Zip | 37412-3918
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Country | US
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Telephone | 877-358-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 W 40TH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37409-3101
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Country | US
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Telephone | 423-486-0774
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 239
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C012712
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120220
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6757
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 68
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009757
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW007326
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11609
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License Number State | MD
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