Katherine Anne Cook, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWI.LW.61136203 Issued in WA

Practice address

2416 Colby Ave
Everett, WA 98201-2914

Phone

(425) 551-1140

NPI assigned

May 17, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathy A Cook Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1730136367
  Medicare reassignment
• Whitebear Behavioral Health

  • Clinical Social Worker
  • Everett, WA
  • NPI 1093578825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1043747330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012914",
            "telephone_number": "425-551-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012914",
            "telephone_number": "425-551-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12015 Marine Dr # 713",
            "address_purpose": "LOCATION",
            "city": "Tulalip",
            "state": "WA",
            "postal_code": "982719306",
            "country_code": "US",
            "telephone_number": "206-519-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61136203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "COOK",
            "middle_name": "A",
            "credential": "MSW, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raven Symone Conyers
• William C Conyers, MD
• Angela Marie Cook, PHARM.D.
• James M. Cook Jr., MD
• Jenna Cook
• Louella Faith Cook I
• Michael L Cook, LMT
• Roberta Cook, LPN
• Cheryl Lynn Coop, L.M.H.C.
• Camryn Cooper, PHARMD

• Clinical Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.