Trudy Mary Cook, LCSW, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014519 Issued in NC

Practice address

307 Vesta CT
Surf City, NC 28445-6684

Phone

(631) 478-2649

Fax

(910) 541-0711

NPI assigned

Mar 18, 2010

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Trudy Mary Cook LCSW PC

  dba Trudy Cook LCSW, CASAC

  • Community/Behavioral Health Agency
  • Surf City, NC
  • NPI 1033642590
  Authorized official Same address or phone

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1174847206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2116",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284450018",
            "telephone_number": "631-478-2649",
            "fax_number": "910-541-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 VESTA CT",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456684",
            "telephone_number": "631-478-2649",
            "fax_number": "910-541-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TRUDY",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014519",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Peterson Brown, PT
• Sandra Thompson Brown, M.S.
• Jennifer Nicole Buchanan, PHARMD
• Margaret Lillian Byram, PA-C
• William Jeffrey Callard, MD
• Rebecca Lynn Cooper, PA-C
• CVS Pharmacy
• D Roahen PLLC
• Deana Fugate, DMD, P.a. (Surf City Dental)
• David Alan Deitz, PT, DPT, OCS

• Clinical Social Worker in Surf City, NC
• Providers in Surf City, 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 Jun 5, 2023; 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.