Jerry Alan Cooke, LISW LADC
NPI 1033284229ActiveIndividual· Social Worker· Santa Fe, NM
Social Worker (LISW LADC) in Santa Fe, New Mexico, licensed in NM and OK, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1033284229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW LADC |
| Sole proprietor | Yes |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | I0879 | NM |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 348 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Social Worker providers in Santa Fe
- 1053478768
- 1508187691
- 1003140658
- 1619574886
- 1487613881
- 1457073405
- 1679479711
- 1568684579
- 1295145357
- 1225442312
- 1285524710
- 1114901212