Individual provider Active NPI

Joetta Cooke

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1609767698
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32070 Issued in MD
Practice address
1800 N Charles St Ste 508
Baltimore, MD 21201-5920
Phone
(651) 434-8768
Fax
(443) 817-0863
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 32070 MD Primary

Addresses

Primary practice location

1800 N Charles St Ste 508
Baltimore, MD 21201-5920

Mailing address

829 N Charles St
Baltimore, MD 21201-5366
Phone (651) 434-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20251023004555 MD Practitioner - Clinical Social Worker 2466940176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 E Northern Pkwy
Suite 305a
Baltimore, MD 21239-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32070MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-4-Concepts Outpatient Mental Health LLC CurrentSince Jul 13, 2025 Accepting new patients
Darby Associates, LLC Clinical CurrentSince Aug 15, 2025 Accepting new patients
Mind-4-Concepts Outpatient Mental Health LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

1800 N Charles St
Ste 508
Baltimore, MD 21201
Phone (410) 801-8828

1 E Chase St
Ste 1124
Baltimore, MD 21202
Phone (410) 409-6500

1900 E Northern Pkwy
Ste 305A
Baltimore, MD 21239
Phone (410) 409-6500

Organizations & group practices 3

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1609767698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015366",
            "telephone_number": "651-434-8768",
            "fax_number": "443-817-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST STE 508",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "651-434-8768",
            "fax_number": "443-817-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JOETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.