Individual provider Active NPI

Ann T. Cook, MSW, LSW, BSW, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1801069901
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10690 Issued in CT
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

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SW 123007OtherPALICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002855 CT Practitioner - Clinical Social Worker 9133539323 Reassigns benefits to 3 organizations

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
Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians
Spectrum Psychiatric Group PCGroup PAC ID 1254328610, 11 clinicians

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 100Reported as group
Quality
84.31
Promoting interoperability
100
Improvement activities
40
Cost
84.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10690CTMDClinical Social Worker
SW 123007PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychiatric Group PC CurrentSince May 22, 2020 Accepting new patients
Stokes Counseling Services LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
The Griffin Hospital CurrentSince Sep 2, 2023 Accepting new patients
Spectrum Psychiatric Group PC PastSince May 22, 2020 Accepting new patients
Women and Childrens Program PastSince Sep 8, 2019 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.

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

Verify at the official NPI Registry.