Nicole Domonique Cook, LCSW
Social Worker, Clinical in Richmond, VA. Individual provider (NPI-1).
NPI number1154866499
StatusActive
Last updated in NPPESDec 22, 2016
Details
- NPI
- 1154866499
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Domonique Cook
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 22, 2016
- Last updated
- Dec 22, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904009734 | VA | Yes |
Practice location
5540 Falmouth StSuite 201
Richmond, VA 23230-1800
Phone 804-497-4676
Mailing address
5540 Falmouth StSuite 201
Richmond, VA 23230-1800
Phone 804-497-4676
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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