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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATRICK KEVIN CORK, LCSW

Active Sole Proprietor

PATRICK KEVIN CORK, LCSW is a Clinical Social Worker healthcare provider located in EDGERTON, Wisconsin. NPI 1962979120 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · EDGERTON, WI

Registration Details

NPI Number
1962979120
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2018 (7.7962419138059 yrs)
Last Updated
Oct 25, 2018
License
2438-123 (WI)
Sole Proprietor
Yes

Practice Information

Address
120 E LADD LN
EDGERTON, WI, 535341300
Browse WI providers · Browse ZIP 53534
Phone
6088840064
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in EDGERTON, WI

Name Credential NPI
MS. JANNA LYNN HACK LCSW 1780700708
AMANDA BOMAN 1720457948
KRYSTAL LUCAS LCSW, MSW, CAPSW 1699546119
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.