Active NPI
Ann T. Cook, MSW, LSW, BSW, LCSW
- Clinical Social Worker
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10690
- Practice address
- 79 Beacon St
Waterbury, CT 06704-3424 - Phone
- (203) 574-3311
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 123007 | PA | |
| Clinical Social Worker | 1041C0700X | 10690 | CT | Primary |
Addresses
Primary practice location
79 Beacon St
Waterbury, CT 06704-3424
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other practice location 1
1615 E Elm St
Scranton, PA 18505-3925
Phone (570) 342-8305 ext. 1077
Other practice location 2
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW 123007 | Other | PA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341
60 Washington Ave
Suite 304
Hamden, CT 06518-3273
Phone (203) 281-2890
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.43 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10690 | CT | MD | Clinical Social Worker |
| SW 123007 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Psychiatric Group PC | Current | Accepting new patients | |
| Stokes Counseling Services LLC | Clinical | Current | Accepting new patients |
| The Griffin Hospital | Current | Accepting new patients | |
| Spectrum Psychiatric Group PC | Past | Accepting new patients | |
| Women and Childrens Program | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
130 Division St
#248
Derby, CT 06418
60 Washington Ave
Ste 304
Hamden, CT 06518
Phone (203) 281-2890
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Hamden, CT
- NPI 1558420653
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Hamden, CT
- NPI 1518142058
-
- Substance Abuse Rehabilitation Facility
- Waterbury, CT
- NPI 1942676523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1801069901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 BEACON ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067043424",
"telephone_number": "203-574-3311"
}
],
"practiceLocations": [
{
"address_1": "1615 E Elm St",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185053925",
"country_code": "US",
"telephone_number": "570-342-8305 x1077",
"fax_number": "570-343-2041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Naugatuck",
"state": "CT",
"postal_code": "067704019",
"country_code": "US",
"telephone_number": "203-729-0341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "ANN",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "MSW, LSW, BSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW 123007",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SW 123007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.