MEDICARE: MR. WILLIAM C. COOL II 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	101YM0800X	Mental Health Counselor	8	AK
2	1041C0700X	Clinical Social Worker	8	AK

General Provider Information

NPI Number	:	1730215567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM C. COOL II LCSW

Provider Business Mailing Address
First Line	:	PO BOX 6924
Second Line	:
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-1924
Country	:	US
Telephone Number	:	907-247-6924
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 5TH AVE
Second Line	:
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-5773
Country	:	US
Telephone Number	:	907-225-5171
Fax Number	:

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	09/11/2025

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