Jane Elizabeth Cook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018042354 Issued in MO

Practice address

1226 Independence Ave
Kennett, MO 63857-1316

Phone

(573) 559-2380

NPI assigned

Jun 13, 2013

Last updated

Jan 21, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1295173110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 INDEPENDENCE AVE",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571316",
            "telephone_number": "573-559-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 INDEPENDENCE AVE",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571316",
            "telephone_number": "573-559-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Highway V V",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638570071",
            "country_code": "US",
            "telephone_number": "573-888-5925",
            "fax_number": "573-888-9365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 College Ave",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572062",
            "country_code": "US",
            "telephone_number": "573-717-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018042354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Healthcare LLC
• Complete Healthcare LLC
• Courtney Michele Cook
• Eureka Cook
• Gabriell Nicole Cook
• Kayla Cook
• Dawn Coolbaugh
• Grant Cooley-Smith
• Nancy Beth Copeland
• Cornerstone Pharmacy Kennett (Cornerstone Pharmacy)

• Clinical Social Worker in Kennett, MO
• Providers in Kennett, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.