Ivelisses Cooke, LCSW
NPI 1962952929ActiveIndividual· Social Worker, Clinical· Forked River, NJ
Social Worker, Clinical (LCSW) in Forked River, New Jersey, licensed in NY, with an NPI issued in October 2016. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1962952929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | May 7, 2024 |
| Certified by provider | May 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 092959 | NY |
| Social Worker | 104100000X | 104237 | NY |
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 (NV) |
|---|
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