Individual provider Active NPI

Nicole Domonique Cook, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1154866499
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009734 Issued in VA
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

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126001633 VA Practitioner - Clinical Social Worker 2264792969 Reassigns benefits to 2 organizations

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
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

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 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Counseling Group, Inc CurrentSince Dec 11, 2017 Accepting new patients
MCV Associated Physicians CurrentSince Feb 7, 2021 Accepting new patients
Compassion Connexion Transportation Services, LLC CurrentSince Jul 25, 2019 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.

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

Verify at the official NPI Registry.