Individual provider Active NPI

Carla Cook

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1760851653
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW97838 Issued in CA
Practice address
44443 10TH St W
Lancaster, CA 93534-3346
Phone
(661) 726-2630
Fax
(661) 940-3412
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 LCSW97838 CA Primary

Addresses

Primary practice location

44443 10TH St W
Lancaster, CA 93534-3346

Mailing address

815 W Lancaster Blvd Ste 115
Lancaster, CA 93534-2303
Phone (661) 903-8822

Other practice location 1

785 Tucker Road
Suite G., PMB #522
Tehachapi, CA 93561
Phone (661) 699-6684

Other practice location 2

785 Tucker Road
Suite G., PMB #522
Tehachapi, CA 93561
Phone (661) 699-6684

Other practice location 3

113 E F St
Tehachapi, CA 93561-1710
Phone (661) 822-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241203002929 CA Practitioner - Clinical Social Worker 5991118176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Real Road IncGroup PAC ID 1052858396, 16 clinicians

Practice addresses (Care Compare)

815 W Lancaster Blvd
Suite 115
Lancaster, CA 93534-2303
Phone (661) 903-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW97838CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Solutions Family Therapy Center Inc. CurrentSince Nov 1, 2024 Accepting new patients
Carla Cook Past Accepting new patients

Locations

815 W Lancaster Blvd
Ste 115
Lancaster, CA 93534
Phone (661) 903-8822

Organizations & group practices 2

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1760851653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W LANCASTER BLVD STE 115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342303",
            "telephone_number": "661-903-8822",
            "fax_number": "661-903-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44443 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343346",
            "telephone_number": "661-726-2630",
            "fax_number": "661-940-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Tucker Road",
            "address_2": "Suite G., PMB #522",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "93561",
            "country_code": "US",
            "telephone_number": "661-699-6684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 Tucker Road",
            "address_2": "Suite G., PMB #522",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "93561",
            "country_code": "US",
            "telephone_number": "661-699-6684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 E F St",
            "address_purpose": "LOCATION",
            "city": "Tehachapi",
            "state": "CA",
            "postal_code": "935611710",
            "country_code": "US",
            "telephone_number": "661-822-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.