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MR. BRUCE DAVID COOKE LCSW NPI 1932236510


NPI Information

NPI: 1932236510
Provider Name: MR. BRUCE DAVID COOKE, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
850 E FOOTHILL BLVD # A
RIALTO, CA
ZIP 92376
Phone: (909) 421-9300
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MR. Bruce David Cooke, LCSW is a clinical social worker in Rialto, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Bruce David Cooke, LCSW NPI is 1932236510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

850 E FOOTHILL BLVD # A
RIALTO, CA
ZIP 92376-230
Phone: (909) 421-9300
Fax: (909) 421-9411

The NPI 1932236510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/28/2007 and was last updated on 4/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCS23495CALIFORNIANo
2101YM0800XCounselorMental HealthLCS23495CALIFORNIANo
31041S0200XSocial WorkerSchoolLCS23495CALIFORNIANo
4101YP1600XCounselorPastoralLCS23495CALIFORNIANo
51041C0700XSocial WorkerClinicalLCS23495CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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