Mary Katherine Cook, LCSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC17313 Issued in ME

Practice address

190 Lancaster St Ste 310
Portland, ME 04101-2058

Phone

(207) 560-7152

NPI assigned

Mar 5, 2020

Last updated

Mar 5, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1487289922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LANCASTER ST STE 310",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012058",
            "telephone_number": "207-560-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LANCASTER ST STE 310",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012058",
            "telephone_number": "207-560-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC17313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Walter Conway, CADC
• Christina Cook, LMSW-CC
• Edward Blodgett Cook, DO
• Erika Lee Cook, FNP
• Madeline Cook, MD, MCR
• Philip James Cook, DO
• Ruth E Cook, CCC/A
• Valerie M Cook, NNP
• Vicki L. Cook, NP-C
• Lisa Anne Cooke

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.