Shelby R. Cook, LISW-S, LCSW-QS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1.2103115-SUPV Issued in OH

Practice address

800 Cross Pointe Rd Ste 800D
Gahanna, OH 43230-6687

Phone

(614) 835-6068

Fax

(614) 524-0428

NPI assigned

Jun 13, 2019

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 OH

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

Specialty

Clinical Social Worker

Education

Ohio State University College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Cook Counseling and Consulting Inc.

  • Clinical Social Worker
  • Gahanna, OH
  • NPI 1629791363
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1184283079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CROSS POINTE ROAD",
            "address_2": "UNIT D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-835-6068",
            "fax_number": "614-524-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CROSS POINTE RD STE 800D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306687",
            "telephone_number": "614-835-6068",
            "fax_number": "614-524-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Oak Meadow Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pataskala",
            "state": "OH",
            "postal_code": "430629812",
            "country_code": "US",
            "telephone_number": "614-835-6068",
            "fax_number": "614-524-0428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 W Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "OH",
            "postal_code": "431051284",
            "country_code": "US",
            "telephone_number": "614-835-6068",
            "fax_number": "614-524-0428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7610 Slate Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430683126",
            "country_code": "US",
            "telephone_number": "614-835-6068",
            "fax_number": "614-524-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHELBY",
        "middle_name": "R.",
        "credential": "LISW-S, LCSW-QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.2103115-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Conte, DDS
• Haja M Conteh, RN
• Continuing Healthcare of Gahanna, LLC
• Cook Counseling and Consulting Inc.
• Ashton Cook, DPT
• Jodi Luaine Cooley, DC
• Andrea R. Cooper, APRN.CNM, APRN.CNP
• Tonya Lyn Coover, PCC-S
• Cornerstone Family Health, Inc.
• Kathleen A. Costlow, M.D.

• Clinical Social Worker in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.

Verify at the official NPI Registry.