Melinda J Cook, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114670 Issued in MA

Practice address

165 Quincy St
Brockton, MA 02302-2988

Phone

(508) 897-2167

Fax

(508) 897-2225

NPI assigned

Mar 1, 2007

Last updated

Sep 10, 2008By the provider in NPPES

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

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1689702581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 EASTBOURNE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313333",
            "telephone_number": "508-897-2167",
            "fax_number": "508-897-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022988",
            "telephone_number": "508-897-2167",
            "fax_number": "508-897-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELINDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Contreras, RD
• Convenient Care Services, LLC
• Convenientmd - FFS UC LLC
• Andrea Conway, NP, CNS
• Emily Anne Cook Sylvester, RD, LDN, CLC
• Travis Andrew Ross Cook, PH.D.
• Brian L Coolbaugh, M.D.
• Amy P Coole, MSW CANDIDATE
• Benjamin L Cooley, MD
• Sabrina A Coombs, DMD

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.