Individual provider Active NPI

Molly Cook, LCSW

  • Clinical Social Worker
  • Marion, IL
National Provider Identifier
1710648035
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029763 Issued in IL
Practice address
1700 Wildcat Dr Ste a
Marion, IL 62959-1513
Phone
(618) 969-8228
Fax
(618) 998-0880
NPI assigned
Jan 8, 2022
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.029763 IL Primary

Addresses

Primary practice location

1700 Wildcat Dr Ste a
Marion, IL 62959-1513

Mailing address

109 California St
PO Box 577
Carterville, IL 62918
Phone (618) 519-9200

Other names 1

  • Molly Stroh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825001894 IL Practitioner - Clinical Social Worker 0648770503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Health Service and Development CorpGroup PAC ID 1658285671, shared by 22 NPIs, 51 clinicians
Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

1006 S Division St
Carterville, IL 62918-1539
Phone (618) 985-4841

308 W Plaza Dr
Suite a
Carterville, IL 62918-2096
Phone (618) 985-4344

6355 Brandhorst Rd
Carterville, IL 62918-3322
Phone (618) 519-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.029763ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Clinical CurrentSince Aug 11, 2025 Accepting new patients
Shawnee Health Service and Development Corp Clinical Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Aug 11, 2025 Accepting new patients
Integrated Health of Southern Illinois CurrentSince Jan 15, 2026 Accepting new patients
Integrated Health of Southern Illinois, LTD. CurrentSince Jan 15, 2026 Accepting new patients
Shawnee Health Service and Development Corp Clinical Past Accepting new patients

Locations

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

308 W Plaza Dr
Ste A
Carterville, IL 62918
Phone (618) 985-4344

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

6355 Brandhorst Rd
Carterville, IL 62918

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

1609 W Main St
Marion, IL 62959
Phone (618) 559-0528

1700 Wildcat Dr
Ste A
Marion, IL 62959
Phone (618) 969-8228

3111 Williamson County Pkwy
Marion, IL 62959
Phone (618) 997-3647

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: molly.cook.1@14668.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1710648035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "62918",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILDCAT DR STE A",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591513",
            "telephone_number": "618-969-8228",
            "fax_number": "618-998-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "STROH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.