IndividualActive
David Cole, LCSW, LPHA
NPI 1164660775 · Clinical Social Worker · Sullivan, IL
Provider details
- NPI number
- 1164660775
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LPHA
- Sex
- Male
- Sole proprietor
- No
- License
- 149.011051 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12 W Harrison St
Sullivan, IL 61951-1907
Phone: (217) 728-4358
Fax: (217) 728-2270
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 163
Sullivan, IL 61951-0163
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.