Individual provider Active NPI

Nathan N Cook, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1730320334
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2145 W Broadway St
Idaho Falls, ID 83402-2904
Phone
(307) 254-2321
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 Primary

Addresses

Primary practice location

2145 W Broadway St
Idaho Falls, ID 83402-2904

Mailing address

4015 E 136 N
Rigby, ID 83442-5198
Phone (307) 254-2321

Other practice location 1

125 S Division St
Powell, WY 82435-2409
Phone (307) 754-7970

Other practice location 2

127 S Division St
Powell, WY 82435-2409
Phone (307) 271-7306

Other identifiers 1

IdentifierTypeStateIssuer
1477716470OtherWYORGANIZATION NATIONAL PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Treatment Center, Inc. PastSince Jan 4, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1730320334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 E 136 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425198",
            "telephone_number": "307-254-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W BROADWAY ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022904",
            "telephone_number": "307-254-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Division St",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352409",
            "country_code": "US",
            "telephone_number": "307-754-7970",
            "fax_number": "307-754-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 S Division St",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352409",
            "country_code": "US",
            "telephone_number": "307-271-7306",
            "fax_number": "307-271-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "NATHAN",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1477716470",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.