Koi Derrick Cook
NPI 1568119048ActiveIndividual· Social Worker, Clinical· Moab, UT
Social Worker, Clinical with Four Corners Community Behavioral Health Inc, practicing in Moab, Utah. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1568119048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 12693112-3501 | UT |
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 (UT) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Four Corners Community Behavioral Health IncPrice, UT · 24 clinicians
Other Social Worker, Clinical providers in Moab
- 1437985694
- 1538886247
- 1346462363
- 1487370854
- 1750869863
- 1538124821
- 1942190194
- 1215799333
- 1952461113
- 1346495306
- 1467196733
- 1346204476