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MARY NICOLE COOK LISW-CP
NPI 1235830779
Social Worker - Clinical in Charleston, SC

Active since March 13, 2023PECOS Enrolled
907 WHITE MARLIN DR, CHARLESTON, SC 29412(843) 860-0965 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Nicole Cook Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY NICOLE COOK LISW-CP (NPI 1235830779) is an individual clinical provider in Charleston, South Carolina, licensed in South Carolina (15654) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235830779
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY NICOLE COOKCredential: LISW-CP
Location Address907 WHITE MARLIN DRCharleston, SC 29412-8400
Mailing Address907 White Marlin DrCharleston, SC 29412-8400 · (843) 860-0965
Phone(843) 860-0965
Sole ProprietorNo
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1235830779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 15654
Definition
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.
907 WHITE MARLIN DR, Charleston, SC 29412
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Nicole Cook Lisw-cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Cook reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians
75 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Thrive Counseling LLC
326 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, South Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Cook's NPI number?

The NPI number for Mary Cook is 1235830779. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Mary Cook located?

Mary Cook practices at 907 White Marlin Dr, Charleston, SC 29412. The listed phone number is (843) 860-0965.

What is Mary Cook's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Cook enrolled in Medicare?

Yes. Mary Cook is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Cook reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and Thrive Counseling LLC (Lynchburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Cook was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.