Individual provider Active NPI

Luciann Cooke, LCSW, LCADC

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1558816603
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05831000 Issued in NJ
Practice address
90 E Halsey Rd Ste 369
Parsippany, NJ 07054
Phone
(848) 482-1089
Fax
(848) 217-0011
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00276500 NJ
Clinical Social Worker 1041C0700X 44SC05831000 NJ Primary

Addresses

Primary practice location

90 E Halsey Rd Ste 369
Parsippany, NJ 07054

Mailing address

18 South St
Madison, NJ 07940-1510
Phone (848) 482-1089

Other practice location 1

18 South St
Madison, NJ 07940-1510
Phone (848) 482-1089

Other practice location 2

321 Changebridge Rd
Pine Brook, NJ 07058-9583
Phone (201) 436-1022 ext. 206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124003296 NJ Practitioner - Clinical Social Worker 0749527083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Main Rd
Suite 2
Montville, NJ 07045-8960
Phone (973) 434-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00276500NJMDAddiction (Substance Use Disorder) Counselor
44SC05831000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Consulting Services of North Jersey LLC Addiction (Substance Use Disorder) CurrentSince Nov 1, 2018 Accepting new patients

Locations

390 Main Rd
Ste 2
Montville, NJ 07045
Phone (973) 434-4270

90 E Halsey Rd
Ste 369
Parsippany, NJ 07054
Phone (848) 482-1089

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1558816603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOUTH ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401510",
            "telephone_number": "848-482-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E HALSEY RD STE 369",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "848-482-1089",
            "fax_number": "848-217-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 South St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NJ",
            "postal_code": "079401510",
            "country_code": "US",
            "telephone_number": "848-482-1089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Changebridge Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "070589583",
            "country_code": "US",
            "telephone_number": "201-436-1022 x206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "LUCIANN",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00276500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05831000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.