Active NPI
Caitlyn Elizabeth Cook, PCSS
- Social Worker
- Iuka, MS
National Provider Identifier
1629578711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1223 Maria LN
Iuka, MS 38852-1139 - Phone
- (662) 423-3332
- Fax
- (662) 423-3331
- NPI assigned
- Feb 15, 2018
- Last updated
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1223 Maria LN
Iuka, MS 38852-1139
Mailing address
1223 Maria LN
Iuka, MS 38852-1139
Phone (662) 423-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018204 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1629578711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 MARIA LN",
"city": "IUKA",
"state": "MS",
"postal_code": "388521139",
"telephone_number": "662-423-3332",
"fax_number": "662-423-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 MARIA LN",
"city": "IUKA",
"state": "MS",
"postal_code": "388521139",
"telephone_number": "662-423-3332",
"fax_number": "662-423-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CAITLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PCSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018204",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.