Individual provider Active NPI

Naomi Crook, LAICSW

  • Social Worker
  • Bellingham, WA
National Provider Identifier
1891247334
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC60417397 Issued in WA
Practice address
609 Northshore Dr
Bellingham, WA 98226-4414
Phone
(360) 676-6000
Fax
(360) 676-6001
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC60417397 WA Primary

Addresses

Primary practice location

609 Northshore Dr
Bellingham, WA 98226-4414

Mailing address

609 Northshore Dr
Bellingham, WA 98226-4414
Phone (360) 676-6000

Other names 1

  • Naomi Ota Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC60417397WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Whatcom Residential & Treatment Center PastSince Oct 27, 2007 Accepting new patients
Lake Whatcom Residential & Treatment Center Past Accepting new patients

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1891247334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORTHSHORE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264414",
            "telephone_number": "360-676-6000",
            "fax_number": "360-676-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 NORTHSHORE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264414",
            "telephone_number": "360-676-6000",
            "fax_number": "360-676-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "NAOMI",
        "credential": "LAICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60417397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "OTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.