Active NPI
Cooke Read, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1811041379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004533
- Practice address
- 1622 E. NC Hywy 54
Durham, NC 27713 - Phone
- (919) 967-3032
- Fax
- (919) 967-3496
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004533 | NC | Primary |
Addresses
Primary practice location
1622 E. NC Hywy 54
Durham, NC 27713
Mailing address
1622 E. NC Hywy 54
Durham, NC 27713
Phone (919) 967-3032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002880 | Medicaid | NC | |
| 137X1 | Other | NC | BCBSNC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004533 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Eye Care Center of Durham PA | Past | 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.
-
- Optometrist
- Durham, NC
- NPI 1205819547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811041379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 E. NC HYWY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-967-3032",
"fax_number": "919-967-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 E. NC HYWY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-967-3032",
"fax_number": "919-967-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "COOKE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002880",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "137X1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.