Individual provider Active NPI

Ashley Noelle Cook, LCSW

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1407217169
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 13349 Issued in FL
Practice address
451 SW Bethany Dr Ste 103
Port St Lucie, FL 34986-1964
Phone
(772) 301-1354
Fax
(772) 281-2706
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 SW 13349 FL Primary

Addresses

Primary practice location

451 SW Bethany Dr Ste 103
Port St Lucie, FL 34986-1964

Mailing address

451 SW Bethany Dr Ste 103
Port St Lucie, FL 34986-1964
Phone (772) 301-1354

Other practice location 1

546 NW University Blvd
Suite 103
Port Saint Lucie, FL 34986-2286
Phone (772) 323-2099 ext. 106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW 13349FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RMP Enterprises, LLC Past Accepting new patients

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1407217169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-301-1354",
            "fax_number": "772-281-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-301-1354",
            "fax_number": "772-281-2706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 NW University Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349862286",
            "country_code": "US",
            "telephone_number": "772-323-2099 x106",
            "fax_number": "772-323-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ASHLEY",
        "middle_name": "NOELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 13349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.