Willis Cooks

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

48711 Issued in CA

Practice address

8929 S Sepulveda Blvd Ste 410
Los Angeles, CA 90045-3634

Phone

(424) 317-6800

NPI assigned

Sep 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1972151868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E HYDE PARK BLVD APT 7",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 S SEPULVEDA BLVD STE 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453634",
            "telephone_number": "424-317-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKS",
        "first_name": "WILLIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "48711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@kwessentialservices.com",
            "affiliation": "N",
            "address_1": "8929 S Sepulveda Blvd Ste 410",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900453634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William E Cook, PA
• Deja Cooke
• Kathleen Nacalaban Cooke, MA
• Quiahnnah Cooks
• Richard Cooks, LCSW
• Helen Sperry Cooksey, M.D.
• Kim Cookson, PSY.D.
• Cool Quit, LLC.
• Carlethea Cooley
• Eugena U Cooley

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.