Eugene Robert Cook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

185 Issued in CO

Practice address

555 Evelyn Dr
Canon City, CO 81212-9455

Phone

(719) 431-1722

NPI assigned

Jan 6, 2012

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1073883054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 EVELYN DR",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129455",
            "telephone_number": "719-431-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 EVELYN DR",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129455",
            "telephone_number": "719-431-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "EUGENE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Medical Investors, LLC (Canon Lodge Care Center)
• Colorado Mountain Health
• Colorado Springs Dermatology Clinic, P.C.
• Colorado Springs Pediatric Dentistry, PC (Colorado Springs Pediatric Dentistry)
• Amber Conover
• Michal Cooling, CNTP, MNT
• Cornell Corrections of California, Inc.
• Cornell Corrections of California, Inc. (Southern Peaks Regional Center)
• Cornell Corrections of California, Inc.
• Emily Cornella, FNP-C

• Clinical Social Worker in Canon City, CO
• Providers in Canon City, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.