Active NPI
Marianne Cook, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1669544268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114835
- Practice address
- 2000 Massachusetts Ave
Cambridge, MA 02140-2115 - Phone
- (617) 545-5335
- NPI assigned
- Nov 15, 2006
- Last updated
- Apr 16, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 095672 | NY | |
| Clinical Social Worker | 1041C0700X | 114835 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 13006 | CT |
Addresses
Primary practice location
2000 Massachusetts Ave
Cambridge, MA 02140-2115
Mailing address
2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100
Phone (617) 545-5335
Other practice location 1
75 Mount Auburn St
4th Floor (Mental Health Services)
Cambridge, MA 02138-4960
Phone (617) 495-2042
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095672 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1669544268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MASSACHUSETTS AVE STE 4",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402100",
"telephone_number": "617-545-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402115",
"telephone_number": "617-545-5335"
}
],
"practiceLocations": [
{
"address_1": "75 Mount Auburn St",
"address_2": "4th Floor (Mental Health Services)",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021384960",
"country_code": "US",
"telephone_number": "617-495-2042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "MARIANNE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095672",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114835",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "13006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.