MEDICARE: MRS. ELENA GOLDEN-COOK

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ISW15154	OTHER	FL	FL PROFESSIONAL LICENSE
2	SW25207	OTHER	FL	LCSW

General Provider Information

NPI Number	:	1134712052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELENA GOLDEN-COOK

Provider Business Mailing Address
First Line	:	316 LISMORE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-6512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	316 LISMORE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-6512
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

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

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/13/2026

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Directions to “ MRS. ELENA GOLDEN-COOK ” Practice Location

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