Individual provider Active NPI

Angela Carol Cook, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Arnold, MO
National Provider Identifier
1255409140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004504 Issued in MO
Practice address
3675 W Outer Rd
Suite 203
Arnold, MO 63010-5232
Phone
(314) 898-0102
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004504 MO Primary

Addresses

Primary practice location

3675 W Outer Rd
Suite 203
Arnold, MO 63010-5232

Mailing address

1524 Breezeridge Dr
Saint Louis, MO 63131-4211
Phone (314) 724-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150814013184 MO Practitioner - Clinical Social Worker 9830404284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madmar LLCGroup PAC ID 8628516119, 9 clinicians

Practice addresses (Care Compare)

1215 Fern Ridge Pkwy
Suite 110
Saint Louis, MO 63141-4405
Phone (314) 275-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004504MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madmar, LLC CurrentSince Jul 18, 2024 Accepting new patients

Locations

1215 Fern Ridge Pkwy
#110W
Saint Louis, MO 63141
Phone (314) 275-8599

1215 Fern Ridge Pkwy
Ste 110
Saint Louis, MO 63141
Phone (314) 275-8599

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255409140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 BREEZERIDGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314211",
            "telephone_number": "314-724-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 W OUTER RD",
            "address_2": "SUITE 203",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630105232",
            "telephone_number": "314-898-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANGELA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.