Kelly Cook, LICSW
NPI 1073810669ActiveIndividual· Social Worker, Clinical· Port Angeles, WA
Social Worker, Clinical (LICSW) with Peninsula Behavioral Health, practicing in Port Angeles, Washington. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1073810669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Feb 17, 2011 |
| Last updated in NPPES | Jul 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW60384294 | WA |
| Social Worker, Clinical | 1041C0700X | 9685 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Peninsula Behavioral HealthPort Angeles, WA · 20 clinicians
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