Tanjalesa Cook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005378 Issued in NC

Practice address

108 Midway Dr
Sylva, NC 28779-7851

Phone

(828) 508-8811

NPI assigned

Mar 13, 2007

Last updated

Aug 13, 2024By the provider in NPPES

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 2

Other names 1

• Ms. Tanjalesa Cook Bridges Other name

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC, TN

  Medicare reassignment NPD
• Children's Home Society of NC

  • Foster Care Agency
  • Greensboro, NC
  • NPI 1700964624

  Clinical

  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1073646741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MIDWAY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287797851",
            "telephone_number": "828-508-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MIDWAY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287797851",
            "telephone_number": "828-508-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TANJALESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "146UA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106425",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANJALESA",
            "last_name": "BRIDGES",
            "middle_name": "COOK",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Valory Connaughton, MD
• Londyn V Conner, PA-C, CAQ-PSYCH
• Abigail Cook, OTR/L
• Jennifer Terry Cook, ARNP
• Mary Osada Cook, LCSW
• Victoria L Cook, COUNSELOR
• Brandi L Cooper
• Michelle K Cooper, PHD, HSPP, LCAS,CCS
• Cheryl Lynn Corallo, OT/L
• Cornbread & Roses Community Counseling Inc

• Clinical Social Worker in Sylva, NC
• Providers in Sylva, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.