MS. MICHAELA KATHLEEN COOK (LICSW) – Clinical Social Worker, NPI 1083132542
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
712 CLINICAL SOCIAL WORKER in RI
Provider Addresses for MS. MICHAELA KATHLEEN COOK (LICSW)
501 Wampanoag Trl Unit 400
Riverside, RI 029151507
Phone: (401) 785-0040
Type: Location
1 Richmond Sq Ste 300E
Providence, RI 029065160
Phone: (401) 349-3131
Type: Location
989 Reservoir Ave Ste 101
Cranston, RI 029105138
Phone: (401) 572-3313
Type: Location
1485 S County Trl Unit 107
East Greenwich, RI 028181771
Phone: (401) 785-0040
Type: Location
27, Richland Road, Cranston, Providence County, Rhode Island, 02910, United States
CRANSTON, RI 029104307
Phone: (401) 533-7079
Type: Mailing
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone: (401) 785-0040
Type: Mailing
1035 POST RD
WARWICK, RI 028883363
Phone: (401) 785-0040
Type: Location
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: 2024-07-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240710002025 | I | Clinical Social Worker | RI | TBD |
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.
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 02915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Clinical Psychologist | RI | |
| Clinical Social Worker | AZ | |
| Mental Health Counselor | SD | |
| Clinical Social Worker | RI | |
| Mental Health Counselor | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI | |
| Mental Health Counselor | RI |
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