Individual provider Active NPI

David Cook, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1205451499
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05936 Issued in KS
Practice address
630 Humboldt St
Ste 110
Manhattan, KS 66502-6095
Phone
(785) 799-5666
Fax
(785) 396-4399
NPI assigned
Jun 12, 2020
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 05936 KS Primary

Addresses

Primary practice location

630 Humboldt St
Ste 110
Manhattan, KS 66502-6095

Mailing address

630 Humboldt St
Ste 110
Manhattan, KS 66502-6095
Phone (785) 799-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230119002321 KS Practitioner - Clinical Social Worker 3072984558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Humboldt St
Suite 110
Manhattan, KS 66502-6035
Phone (785) 706-9994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05936KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Counseling LLC Clinical CurrentSince Dec 20, 2022 Accepting new patients
Summit Counseling LLC Clinical PastSince Feb 23, 2025 Accepting new patients

Locations

630 Humboldt St
Ste 110
Manhattan, KS 66502
Phone (785) 706-9994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1205451499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HUMBOLDT ST",
            "address_2": "STE 110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026095",
            "telephone_number": "785-799-5666",
            "fax_number": "785-396-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HUMBOLDT ST",
            "address_2": "STE 110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026095",
            "telephone_number": "785-799-5666",
            "fax_number": "785-396-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DAVID",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-02-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.