Stephanie Ann Cook, B.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW005256 Issued in GA

Practice address

1244 Clairmont Rd
Suite 204
Decatur, GA 30030-1259

Phone

(678) 999-3390

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stephanie Ann Beatty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1972649259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "address_2": "SUITE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301259",
            "telephone_number": "678-999-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "address_2": "SUITE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301259",
            "telephone_number": "678-999-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BEATTY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "L.M.S.W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Dwayne Cook, CPS
• Michael Lee Cook, LMFT
• Miniimah Eveleena Ada Cook
• Sara Rachel Cook, APC, MS
• Stacie Chisolm Cook, LCSW
• Antwan Cooke, APRN, FNP-C
• James Edward Cooke, M.D.
• Jomila Cooks
• Megan Coole, PHARMD
• Abigail Jane Cooper

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.