Provider Demographics
NPI:1043991060
Name:COOK, ASHLEY RENEE (LICSW)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:COOK
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 20TH ST N STE 1220
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-4606
Mailing Address - Country:US
Mailing Address - Phone:205-386-0360
Mailing Address - Fax:
Practice Address - Street 1:505 20TH ST N STE 1220
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-4606
Practice Address - Country:US
Practice Address - Phone:205-386-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145661041C0700X
AL5338C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical