Active NPI
Marianne M Cook, LCSW
- Clinical Social Worker
- Maplewood, NJ
National Provider Identifier
1891943452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06335200
- Practice address
- 108 Baker St Ste 202
Maplewood, NJ 07040-2531 - Phone
- (917) 544-2756
- NPI assigned
- Sep 8, 2008
- Last updated
- May 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 077390 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06335200 | NJ | Primary |
Addresses
Primary practice location
108 Baker St Ste 202
Maplewood, NJ 07040-2531
Mailing address
390 Charlton Ave
South Orange, NJ 07079-2406
Phone (917) 544-2756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 10, 2024 through Sep 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077390 | NY | MD | Social Worker |
| 44SC06335200 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1891943452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 CHARLTON AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792406",
"telephone_number": "917-544-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BAKER ST STE 202",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402531",
"telephone_number": "917-544-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MARIANNE",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2024-05-11",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "077390",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06335200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
- Comprehensive Physical Medicine and Rehabilitation of New Jersey
- Jaclyn Connolly, RN
- Contagious Smile LLC
- Jeannine Contreras, JEANNINE CONTRERAS
- Aigner Cook, RN
- Elizabeth Cort, PTA
- Crane Medical Associates LLC
- Theresa Crean, RN
- Creative Expressions and Counseling Services, LLC
- Amelia Cruz-Holder, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.