Annischa E Cook, LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09068 Issued in MN

Practice address

4213 Vera Cruz Ave N
Robbinsdale, MN 55422-1210

Phone

(763) 536-9013

Fax

(763) 536-9013

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kamasia & Associates, Inc.

  • Clinical Social Worker
  • Robbinsdale, MN
  • NPI 1770886343
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649348848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 VERA CRUZ AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221210",
            "telephone_number": "763-536-9013",
            "fax_number": "763-536-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 VERA CRUZ AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221210",
            "telephone_number": "763-536-9013",
            "fax_number": "763-536-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANNISCHA",
        "middle_name": "E",
        "credential": "LICSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "09068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER ID",
            "identifier": "151040",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD ID",
            "identifier": "17F10CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "62-75573",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "990991033373",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD ID",
            "identifier": "17F09CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH PLAN",
            "identifier": "00135511",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Cole, DPT
• Katherine Cole, PA-C
• Thomas J Combs, MD
• Jacqueline M Conner
• Thomas Norman Conner, M.D.
• Christina Cooney, CRNA
• Cortino Mobility Plus, LLC
• Covenant Human Services (CHS)
• Matthew Coy
• Crystal Lake Dental Care of Robbinsdale, PLLC

• Clinical Social Worker in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.