Matthew David Cook, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2323 Avenue J E
Omaha, NE 68110-2765

Phone

(402) 522-7131

NPI assigned

May 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699187088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 N 103RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342509",
            "telephone_number": "402-968-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 AVENUE J E",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102765",
            "telephone_number": "402-522-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 S 42nd St",
            "address_2": "328",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681052939",
            "country_code": "US",
            "telephone_number": "402-614-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10246",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Marcell Cook, PLADC
• Kristen Cook, PHARM. D., BCPS
• Lawanda Ferell Cook, MS, PLMHP
• Leigh K Cook, APRN
• Linda K Cook, LMHP
• Mia Cook
• Payton Anne Cook
• Quinceola D Cook
• Shawnte Marie Cook
• Stephanie Cook

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.