Active NPI
James Raymond Cook, LCSW
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1679616205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004776
- Practice address
- 12 Cottage LN
Westport, CT 06880-5612 - Phone
- (203) 256-9789
- Fax
- (203) 256-9789
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- 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 | 004776 | CT | Primary |
Addresses
Primary practice location
12 Cottage LN
Westport, CT 06880-5612
Mailing address
12 Cottage LN
Westport, CT 06880-5612
Phone (203) 256-9789
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 |
|---|---|---|---|
| 004776 | CT | MD | Clinical Social Worker |
| 4776 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679616205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COTTAGE LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805612",
"telephone_number": "203-256-9789",
"fax_number": "203-256-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COTTAGE LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805612",
"telephone_number": "203-256-9789",
"fax_number": "203-256-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
- Connecticut Luna Care Physical Therapy LLC
- Connecticut Orthopaedic Specialists, PC
- Connecticut Pediatric Partnership LLC
- Connecticut Plastic Surgery Associates LLC
- Connecticut Psychtherapy
- Elaine Levy Cooper, PHD
- Sheila A Cooperman, MD
- Core Counseling LLC
- Margarita M Cossuto, PHD
- Tara L Covais, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.