Active NPI
Sheila L Cook
- Clinical Social Worker
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13483
- Practice address
- 634 N Halifax Dr
Ormond Beach, FL 32176-4762 - Phone
- (386) 566-1310
- NPI assigned
- Mar 16, 2016
- Last updated
- Mar 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13483 | FL | Primary |
Addresses
Primary practice location
634 N Halifax Dr
Ormond Beach, FL 32176-4762
Mailing address
634 N Halifax Dr
Ormond Beach, FL 32176-4762
Phone (386) 566-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon Senior Counseling | Clinical | Current | Accepting new patients |
Locations
2057 Edgewater Dr
Clearwater, FL 33755
Phone (727) 205-7077
15520 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 949-2626
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 896-7160
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1952762056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 N HALIFAX DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321764762",
"telephone_number": "386-566-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 N HALIFAX DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321764762",
"telephone_number": "386-566-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "SHEILA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.