Tara L Cook, LCSW
Social Worker, Clinical in Champaign, IL. Individual provider (NPI-1).
NPI number1760616080
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1760616080
- Entity type
- Individual (NPI-1)
- Name
- Tara L Cook
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2009
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L4704 | OR | Yes |
Practice location
44 E Main StSuite 406
Champaign, IL 61820-3636
Phone 217-398-9066 · Fax 217-398-9077
Mailing address
44 E Main StSuite 406
Champaign, IL 61820-3636
Phone 217-398-9066 · Fax 217-398-9077
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