Active NPI
Molly Faith Cook, LCSW, LISAC
- Social Worker
- Surprise, AZ
National Provider Identifier
1699968834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11813
- Practice address
- 15331 W Bell Rd
Ste 219
Surprise, AZ 85374-4102 - Phone
- (928) 231-9635
- NPI assigned
- Aug 21, 2007
- Last updated
- Oct 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11431 | AZ | |
| Social Worker | 104100000X | 11813 | AZ | Primary |
Addresses
Primary practice location
15331 W Bell Rd
Ste 219
Surprise, AZ 85374-4102
Mailing address
335 Cottonwood LN
Wickenburg, AZ 85390-3393
Phone (928) 231-9635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101000764 | AZ | Practitioner - Clinical Social Worker | 5698053387 | Practice locations: Surprise, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15331 W Bell Rd
Suite 219
Surprise, AZ 85374-4102
Phone (928) 231-9635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11813 | AZ | MD | Social Worker |
| 11431 | AZ | MD | Personal Emergency Response Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1699968834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 COTTONWOOD LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853903393",
"telephone_number": "928-231-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15331 W BELL RD",
"address_2": "STE 219",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744102",
"telephone_number": "928-231-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MOLLY",
"middle_name": "FAITH",
"name_prefix": "Ms.",
"credential": "LCSW, LISAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "11431",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "11813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.