Kimberly Lynn Cook, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6757 Issued in TN

Practice address

1312 Spring Creek Rd
Chattanooga, TN 37412-3918

Phone

(877) 358-2998

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 4

Other names 1

• Ms. Kimberly Brown Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA, TN, GA, NC, FL, IA8 enrollments

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 8

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Elu, LLCGroup PAC ID 7719228451, 5 clinicians

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.

• Elu LLC

  dba Elu

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1396222394

  Clinical, FL, GA, IA, MD, NC, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Woodbridge, VA
  • NPI 1083152011
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1235188491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374093101",
            "telephone_number": "423-486-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123918",
            "telephone_number": "877-358-2998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W 40th St",
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            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37409",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13135 Hillendale Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221935131",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17826 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Ashton",
            "state": "MD",
            "postal_code": "208619781",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
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        },
        {
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            "country_name": "United States",
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        },
        {
            "address_1": "8305 Daisy Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373431453",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
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        },
        {
            "address_1": "3912 Dayton Blvd",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "TN",
            "postal_code": "374152716",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Locust Street Suite 400",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50309",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Walker Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307367581",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Ed Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Ashland City",
            "state": "TN",
            "postal_code": "370153009",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7288 Hanover Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231111709",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 York Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210935611",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 13105",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024305",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6781 Camden Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283067223",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3575 Sango Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370436706",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6922 Muncaster Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Derwood",
            "state": "MD",
            "postal_code": "208551546",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 N Tuxedo Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374113728",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374121135",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012712",
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        },
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            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "120220",
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        },
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            "desc": "Social Worker, Clinical",
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            "license": "6757",
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        },
        {
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            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "68",
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007326",
            "primary": false
        },
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            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11609",
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447380900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215422ZDV",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048467",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003213184C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Renish Nital Contractor
• Sara Conway
• Elaine Cook
• Freda J Cook, LCSW
• Jolene Cook, LCSW
• Lydia Abigail Cook
• Robert Cook II, DR.
• Thomas R Cook III, D.M.D, M.D
• Alexandria S Cooke, M.D
• Johnathan Cooks, MD

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.