MRS. KELLY L S COOK (NPI# 1790847135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790847135 |
| Entity Type | Individual |
| Full Name | MRS. KELLY L S COOK |
| Other Name | KELLY LEA SHEPARDSON |
| Credential | LICSW |
| Practice Address |
1321 13th St N St Cloud MN 56303-2614 |
| Practice Telephone | 3202525010 |
| Practice Fax Number | 3202031855 |
| Mailing Telephone | 3202525010 |
| Mailing Fax Number | 3202031855 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17541 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1609173046 | Kelly Jean Cook | Nurse Practitioner | 1501 Trousdale Dr Fl 2, Burlingame, CA 94010-4506 | 2011-02-22 |
| 1881729812 | Kelly Jorn Cook | Dentist | 3800 W Ray Rd Ste 19, Chandler, AZ 85226-5940 | 2007-02-22 |
| 1821603978 | Kelly Cook | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-09-14 |
| 1851901136 | Kelly Frances Cook | Registered Nurse | 434 Eastland Rd, Berea, OH 44017-1217 | 2020-08-03 |
| 1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
| 1467018325 | Kelly Cook | Audiologist | 1810 Sw White Birch Cir Ste 104, Ankeny, IA 50023-7226 | 2019-05-16 |
| 1578076766 | Kelly E Cook | Counselor | 506 E Lancaster Ave, Downingtown, PA 19335-2776 | 2017-11-09 |
| 1053713867 | Kelly Cook | Radiologic Technologist | 706 W Grove St, El Dorado, AR 71730-4416 | 2014-09-23 |
| 1194006692 | Kelly T Cook | Pharmacist | 440 West St, Keene, NH 03431-2453 | 2011-08-30 |
| Street Address |
1321 13TH ST N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469596 | Jason Patrick Mccarty | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-07-11 |
| 1649478413 | William J Madigan | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-07-03 |
| 1992850069 | Mary J Linn | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-01-25 |
| 1639220502 | Bradley J Benz | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2007-01-16 |
| 1932279940 | Cassandra Lou Moe | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-11-08 |
| 1164521621 | Sarah J Pickens | Psychologist | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-09-21 |
| 1467555391 | Victoria Jean Knight | Marriage & Family Therapist | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-09-06 |
| 1407883390 | Walter James Steiner Jr. | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-27 |
| 1437195641 | Charlene Marie Carroll-hanisch | Social Worker | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-22 |
| 1285670497 | Nancy A Rossman | Counselor | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700074531 | Marjorie Ellen Carr | Social Worker | 5525 E Irlo Bronson Hwy, St Cloud, FL 34771-8736 | 2007-10-05 |
| 1427401041 | Whitney Jo Jarnot | Social Worker | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2016-07-19 |
| 1104275619 | Kathryn Lea Gruwell | Social Worker | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2016-06-06 |
| 1871919175 | Stephanie Karin Larson | Social Worker | 4801 Veterans Drive, St. Cloud Va Health Care System, St Cloud, MN 56303 | 2014-03-11 |
| 1962688267 | Gerald Wayne Dungan | Social Worker | 1406 6th Avenue North, St Cloud Hospital Centracare Health Plaza, St Cloud, MN 56303-1901 | 2008-01-16 |
| 1538182464 | Joan C Pilot | Social Worker | 713 Anderson Ave, St Cloud, MN 56303 | 2006-07-25 |
| 1972549392 | Dee Dee A Bruyere | Social Worker | 713 Anderson Ave, St Cloud, MN 56303 | 2006-06-22 |
| 1538119144 | David John Sather | Social Worker | 713 Anderson Ave, St Cloud, MN 56303 | 2006-05-12 |
| 1447200050 | Paulette C Martinson | Social Worker | 713 Anderson Ave, St Cloud, MN 56303 | 2006-05-12 |
| 1427008580 | Mary Kay May | Social Worker | 713 Anderson Ave, St Cloud, MN 56303 | 2006-05-11 |
| Find all providers in ST CLOUD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.