Active NPI
Rebecca Gene Olsen Cook, LCSW
- Clinical Social Worker
- Buda, TX
National Provider Identifier
1033204573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36145
- Practice address
- 1760 FM 967
Ste C
Buda, TX 78610-3047 - Phone
- (512) 947-1222
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36145 | TX | Primary |
Addresses
Primary practice location
1760 FM 967
Ste C
Buda, TX 78610-3047
Mailing address
1760 FM 967
Ste C
Buda, TX 78610-3047
Phone (512) 947-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209070601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36145 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1033204573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 FM 967",
"address_2": "STE C",
"city": "BUDA",
"state": "TX",
"postal_code": "786103047",
"telephone_number": "512-947-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 FM 967",
"address_2": "STE C",
"city": "BUDA",
"state": "TX",
"postal_code": "786103047",
"telephone_number": "512-947-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "REBECCA",
"middle_name": "GENE OLSEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209070601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.