Alice Cook, MSW
Individual provider Active NPI Clinical Social Worker · Vineyard Haven, MA
NPI 1720180532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720180532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 106270 (MA)
- Practice address
- 111 Edgartown Rd
Vineyard Haven, MA 02568-5601 - Phone
- (508) 693-7900
- Fax
- (508) 696-0401
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Cape Cod, Inc.
Practice addresses (Care Compare)
107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041220000785 | MA | Practitioner - Clinical Social Worker | 7810955002 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha'S Vineyard Community Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106270 | MA | Yes |
Addresses
Primary practice location
111 Edgartown Rd
Vineyard Haven, MA 02568-5601
Mailing address
111 Edgartown Rd
Vineyard Haven, MA 02568-5601
Phone (508) 693-7900
Other providers in Vineyard Haven, MA
- Olivia Benoit Law Butler
- Jessica Yates Campbell
- Nancy Canha
- Gabrielle Chudnow
- Jackie Clason
- Lisa Cottrell
- Caline Coutts
- Hallie Rose D'Angelo
- Emma Damier
- Donna Davey
All providers in Vineyard Haven, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.