Blake Cook
Social Worker, Clinical in Passaic, NJ. Individual provider (NPI-1).
NPI number1962020040
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1962020040
- Entity type
- Individual (NPI-1)
- Name
- Blake Cook
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2020
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
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 | 44SC05454100 | NJ | Yes |
Practice location
85 Crescent AvePassaic, NJ 07055-2437
Phone 201-421-7371
Mailing address
16 Schmitt RdWest Orange, NJ 07052-2227
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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All 106 Clinical Social Worker providers in Passaic · All 1,025 providers in Passaic
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