Organization Active NPI

Jane Cooke,LCSW,Acsw,LLC

  • Clinical Social Worker
  • North Wales, PA
National Provider Identifier
1326418583
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014098 Issued in PA
Legal business name
JANE COOKE,LCSW,ACSW,LLC
Practice address
100 S Main St
Suite 2a
North Wales, PA 19454-2847
Phone
(215) 280-7716
Fax
(215) 996-0520
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Jane Cooke, LCSW,ACSWNPI 1831159516
Title
Psychotherapist
Phone
(215) 280-7716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW014098 PA Primary

Addresses

Primary practice location

100 S Main St
Suite 2a
North Wales, PA 19454-2847

Mailing address

107 Hardwood CT
Chalfont, PA 18914-2035
Phone (215) 280-7716

National Provider Directory

National Provider Directory

Locations

100 S Main St
Ste 2A
North Wales, PA 19454
Phone (215) 280-7716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1326418583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HARDWOOD CT",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142035",
            "telephone_number": "215-280-7716",
            "fax_number": "215-996-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542847",
            "telephone_number": "215-280-7716",
            "fax_number": "215-996-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE COOKE,LCSW,ACSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "215-280-7716",
        "authorized_official_credential": "LCSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.