Katherine M Marks Cook, LCSW LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC8576 Issued in ME

Practice address

30 Boynton St
Box H Eastport Health Care Inc
Eastport, ME 04631

Phone

(207) 853-6001

Fax

(207) 853-4028

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

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 and National Provider Directory roles.

• Monadnock Family Services

  • Community/Behavioral Health Agency
  • Keene, NH
  • NPI 1649331224
  Medicare reassignment NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1174603476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "address_2": "BOX H EASTPORT HEALTH CARE INC",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "04631",
            "telephone_number": "207-853-6001",
            "fax_number": "207-853-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "address_2": "BOX H EASTPORT HEALTH CARE INC",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "04631",
            "telephone_number": "207-853-6001",
            "fax_number": "207-853-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS COOK",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC2728",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320310099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastport School Department
• Abhay Arun Ektare
• Kendall Community Case Management Agency
• Pamela J. Koenig, MSN, CRNP
• Anne M Leaver, LCPC
• Terri Mumme, MSN, APRN, FNP-C
• Ann E. O'Brien, APNP
• Ihezie S Obi, PHARMD
• Steve Parker, PA
• Christine Parks, MA, CHW

• Clinical Social Worker in Eastport, ME
• Providers in Eastport, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.