MEDICARE: MR. EUGENE ROBERT COOK LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	185	CO

General Provider Information

NPI Number	:	1073883054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EUGENE ROBERT COOK LCSW

Provider Business Mailing Address
First Line	:	555 EVELYN DR
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-9455
Country	:	US
Telephone Number	:	719-431-1722
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 EVELYN DR
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-9455
Country	:	US
Telephone Number	:	719-431-1722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	02/16/2016

Similar Medicare Providers

1710339601 — DR. JUNG AH KIM
Practice Location Address:

9455 BALTIMORE NATIONAL PIKE STE B
ELLICOTT CITY, MD
21042-2812

Practice Phone: 443-535-7575
Practice Fax:

1144733403 — VITREO-RETINAL MEDICAL GROUP INC
Practice Location Address:

1870 LASSEN BLVD STE B
YUBA CITY, CA
95993-9455

Practice Phone: 530-923-7973
Practice Fax:

1790365088 — DR. KAITLIN ANNE NEUMANN DPT
Practice Location Address:

6934 STAGECOACH TRL
VALLEY CITY, OH
44280-9455

Practice Phone: 330-635-5250
Practice Fax:

1124692140 — RAPHA ACUPUNCTURE & HERBAL CLINIC
Practice Location Address:

9455 BALTIMORE NATIONAL PIKE STE B
ELLICOTT CITY, MD
21042-2812

Practice Phone: 443-535-7575
Practice Fax:

1851136774 — ASHLEY VONGREY, LMSW, LLC
Practice Location Address:

2041 MIDLAND RD
BAY CITY, MI
48706-9455

Practice Phone: 989-450-6061
Practice Fax:

1053638064 — MOLLIE T MILLER
Practice Location Address:

1338 PHAY AVE
CANON CITY, CO
81212-2311

Practice Phone: 719-285-2700
Practice Fax: 719-285-2455

Directions to “ MR. EUGENE ROBERT COOK LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.