Active NPI
Kaycee Kathleen McMullin Cook, LCSW
- Clinical Social Worker
- Cheyenne, WY
National Provider Identifier
1578037164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904016558
- Practice address
- 401 W 19TH St Ste 305
Cheyenne, WY 82001-4358 - Phone
- (307) 222-2166
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904016558 | VA | Primary |
Addresses
Primary practice location
401 W 19TH St Ste 305
Cheyenne, WY 82001-4358
Mailing address
10908 Courthouse Rd Ste102
#241
Fredericksburg, VA 22408-8604
Phone (307) 640-5476
Other practice location 1
10315 Winter Park Ln
Spotsylvania, VA 22553-4490
Phone (307) 640-5476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612001562 | WY | Practitioner - Clinical Social Worker | 6002358587 | Practice locations: Cheyenne, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
401 W 19TH St
Suite 301
Cheyenne, WY 82001-4358
Phone (307) 222-2166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-1648 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1578037164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 COURTHOUSE RD STE102",
"address_2": "#241",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224088604",
"telephone_number": "307-640-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W 19TH ST STE 305",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014358",
"telephone_number": "307-222-2166"
}
],
"practiceLocations": [
{
"address_1": "10315 Winter Park Ln",
"address_purpose": "LOCATION",
"city": "Spotsylvania",
"state": "VA",
"postal_code": "225534490",
"country_code": "US",
"telephone_number": "307-640-5476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMULLIN COOK",
"first_name": "KAYCEE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904016558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.