Felicia Keana Cook, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4766218 Issued in MI

Practice address

401 10TH Ave
Menominee, MI 49858-3009

Phone

(906) 972-2795

NPI assigned

Oct 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Felicia Keana Lockhart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1689217036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24270 BLACKSTONE ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 10TH AVE",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583009",
            "telephone_number": "906-972-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "FELICIA",
        "middle_name": "KEANA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "4766218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "LOCKHART",
            "middle_name": "KEANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Troy R Clausen, DDS PC
• Christopher Lee Crane, HSE
• Harold P Crissinger, M.D.
• Delta-Menominee District Health Department
• Deana Denoo
• Renee L Dietrich

• All providers in Menominee, MI
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.