Active NPI
Nicole Domonique Cook, LCSW
- Clinical Social Worker
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009734
- Practice address
- 5540 Falmouth St
Suite 201
Richmond, VA 23230-1800 - Phone
- (804) 497-4676
- NPI assigned
- Dec 22, 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 | 0904009734 | VA | Primary |
Addresses
Primary practice location
5540 Falmouth St
Suite 201
Richmond, VA 23230-1800
Mailing address
5540 Falmouth St
Suite 201
Richmond, VA 23230-1800
Phone (804) 497-4676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 N 2ND St
Richmond, VA 23219-1359
Phone (804) 828-9452
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Counseling Group, Inc | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Compassion Connexion Transportation Services, LLC | Current | Accepting new patients |
Locations
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
5014 Monument Ave
Richmond, VA 23230
Phone (804) 497-4676
501 N 2nd St
Richmond, VA 23219
Phone (804) 828-9452
3922 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 776-0716
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Mental Health Counselor
- Richmond, VA
- NPI 1710070545
-
- Non-emergency Medical Transport (VAN)
- Sandston, VA
- NPI 1083266357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1154866499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 FALMOUTH ST",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301800",
"telephone_number": "804-497-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 FALMOUTH ST",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301800",
"telephone_number": "804-497-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "NICOLE",
"middle_name": "DOMONIQUE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.