Phillis Kay Cooke, LCSWC BCD

Primary specialty

Social WorkerTaxonomy code 104100000X

License

01017 Issued in MD

Practice address

913 S Belgrade Road
Phillis Cooke
Silver Spring, MD 20902-3252

Phone

(301) 649-1415

Fax

(301) 649-2127

NPI assigned

Sep 7, 2007

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

Other names 1

• Ms. Phillis Walls Cooke Other name

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1548455082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S BELGRADE ROAD",
            "address_2": "PHILLIS COOKE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023252",
            "telephone_number": "301-649-1415",
            "fax_number": "301-649-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S BELGRADE ROAD",
            "address_2": "PHILLIS COOKE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023252",
            "telephone_number": "301-649-1415",
            "fax_number": "301-649-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "PHILLIS",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSWC BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "01017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIS",
            "last_name": "COOKE",
            "middle_name": "WALLS",
            "prefix": "MS.",
            "credential": "LCSWC BCD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Continuum Healthcare Network LLC
• Aaron Christopher Cook
• Brittani Cook, CRNP
• Cheryl Cook
• Leatitia Isa Cook
• Kayla Cooper-Gamble
• Carol Agnes Cooper, LCPC
• Judith Elene Cooper, DPT
• Lawton Shaw Cooper, M.D.
• Marcia Cooper

• Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.