MS. JENNIFER COOK (LCSW) – Clinical Social Worker, NPI 1114909306

MS. JENNIFER COOK (LCSW) is a healthcare provider. based in Marietta, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW002489 (GA). The NPI Number for MS. JENNIFER COOK (LCSW) is 1114909306

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER COOK (LCSW)
NPI
1114909306
Phone
(770) 644-1570
Address
2540 WINDY HILL RD SE
Enumeration Date
15 November 2005
Last Update Date
3 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1995 (31 years ago)
PAC ID
7416179627
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20141103002008
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

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Provider Addresses for MS. JENNIFER COOK (LCSW)

  • WellStar Windy Hill Hospital, 2540, Windy Hill Road Southeast, Marietta, Cobb, Georgia, 30067, United States

    MARIETTA, GA 300678605

    Phone: (770) 644-1570

    Fax: (770) 644-1576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141103002008IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to MS. JENNIFER COOK (LCSW)?
The federal identifier for MS. JENNIFER COOK (LCSW) is NPI 1114909306.
Is MS. JENNIFER COOK (LCSW) currently active in the NPI registry?
CMS-published data lists MS. JENNIFER COOK (LCSW) as an active registrant.
Does MS. JENNIFER COOK (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MS. JENNIFER COOK (LCSW). Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER COOK (LCSW)'s primary listing?
We display Marietta, Georgia because that is what the record indicates for MS. JENNIFER COOK (LCSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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