Tammy Blackard Cook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004059 Issued in NC

Practice address

1330 Saint Marys St
Suite 340
Raleigh, NC 27605-1375

Phone

(919) 272-6854

Fax

(919) 832-3449

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 19, 2018 through Apr 19, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Resiliency Collaborative

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1962163444

  Clinical

  NPD Authorized official
• Aspire Counseling Group, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1972835031
  NPD (past) Authorized official
• Tammy Blackard Cook & Associates

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1346561099
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1992750178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILLCREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051718",
            "telephone_number": "919-272-6854",
            "fax_number": "919-832-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAINT MARYS ST",
            "address_2": "SUITE 340",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051375",
            "telephone_number": "919-272-6854",
            "fax_number": "919-832-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKARD COOK",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007268",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "017WX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "131UE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylie Black
• Henry Campbell McNaughton Black
• Julia Black, MS
• Megan Kathleen Black, MSN, APRN, AGNP-C
• Taylor Winn Black, PA-C
• Jeffrey Robert Blackburn, MD
• Mallory Serpan Blackburn, OTR/L
• Marcia Michelle Blackmon Leveris, PHARMD
• Domonique Blackmon, M.S., LPCA
• Sebrena Blacknall, LPN

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.