CRYSTAL COOK (NPI# 1205299237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205299237 |
| Entity Type | Individual |
| Full Name | CRYSTAL COOK |
| Practice Address |
175 N Groesbeck Hwy Mount Clemens MI 48043 |
| Mailing Address |
2051 W Grand Blvd Detroit MI 48208-1105 |
| Practice Telephone | 5866270024 |
| Practice Fax Number | 5866270027 |
| Mailing Telephone | 3139613221 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801098399 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1205299237 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2051 W Grand Blvd, Detroit, MI 482081105 | 3139613221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345993 | Crystal Gail Cook | Counselor | 35103 State Highway 79 S, Olney, TX 76374-2505 | 2020-01-19 |
| 1740618909 | Crystal Colleen Cook | Chiropractor | 3716 Southeast International Way, Milwaukie, OR 97222 | 2013-10-28 |
| 1124373741 | Crystal Camille Cook | Pharmacist | 496 Us Highway 84 E, Cairo, GA 39828-1647 | 2012-07-19 |
| 1265814909 | Crystal Rebecca Anne Cook | Marriage & Family Therapist | 1908 Business Center Dr Ste 220, San Bernardino, CA 92408 | 2015-06-18 |
| 1073856639 | Crystal Jean Cook | Technician, Other | 54 N 200 E, Cedar City, UT 84720-2615 | 2013-04-02 |
| 1174865083 | Crystal Lynn Cook | Occupational Therapy Assistant | 402 W Main St, Antlers, OK 74523-2087 | 2013-03-19 |
| 1922386754 | Crystal Cook | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2011-07-27 |
| 1003069113 | Crystal S Cook | Nurse Practitioner | 225 Community Drive, Fayette, MS 39069-0098 | 2008-11-03 |
| 1285897827 | Crystal Cook | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2008-07-03 |
| 1073702593 | Crystal J Cook | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-10-21 |
| Street Address |
175 N GROESBECK HWY |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992746622 | Alternative Community Living, Inc. | Clinic/Center | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2006-06-10 |
| 1467070888 | Michael Davis Cook | Case Manager/Care Coordinator | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2020-07-13 |
| 1861017857 | Twanna Angelic Campbell | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2020-06-15 |
| 1225690027 | Jessica L Hardman | Case Manager/Care Coordinator | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-07-01 |
| 1235799586 | Michael Walsh | Case Manager/Care Coordinator | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-18 |
| 1437718715 | Charles Franklin Johnston Jr. | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-10 |
| 1295393247 | Sarah Ann Terrien | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-04 |
| 1720646086 | Lecia Marie Taylor | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-02 |
| 1174180848 | Michelle A Rudish | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-05-28 |
| 1942867841 | Karen L Valliere | Registered Nurse | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598152241 | Extended Handz LLC | Social Worker | 700 Clinton River Dr, Mount Clemens, MI 48043-2460 | 2015-04-21 |
| 1619003423 | Kathy Elizabeth Lancaster | Social Worker | 100 Northbound Gratiot Ave, Mount Clemens, MI 48043-2301 | 2007-02-26 |
| 1437718715 | Charles Franklin Johnston Jr. | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-10 |
| 1295393247 | Sarah Ann Terrien | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-04 |
| 1174180848 | Michelle A Rudish | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-05-28 |
| 1083172399 | Sebastian Matti | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-03-05 |
| 1548731102 | Shannon Dawn Chaput | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043 | 2018-12-07 |
| 1073093464 | Shelby R Evans | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043 | 2018-08-15 |
| 1467938746 | Kathy Nicholas | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2018-07-19 |
| 1720576242 | Kayla Bardon | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2018-04-30 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on CRYSTAL COOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.