Dene Cooke

Individual provider Active NPI Community Health Worker · Piedmont, MO

NPI 1801633912 · NPPES record last updated Jul 15, 2024

Key facts

NPI
1801633912
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone
(573) 223-7649
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. Past
since Jul 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

5 Sugar Creek Rd
Piedmont, MO 63957-9612

Mailing address

5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone (573) 223-7649

Other providers in Piedmont, MO

All providers in Piedmont, MO · Community Health Worker in Missouri

Sources for this page

Verify at the official NPI Registry.