Shelby R Cook, LISW-S, LCSW-QS in Gahanna, OH - Medicare Social Worker Provider

Shelby R Cook, LISW-S, LCSW-QS is a medicare enrolled "Social Worker - Clinical" provider in Gahanna, Ohio. Her current practice location is 800 Cross Pointe Rd Ste 800d, Gahanna, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 835-6068.

Shelby R Cook is licensed to practice in Ohio (license number 1.2103115-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184283079.

Contact Information

	Shelby R Cook, LISW-S, LCSW-QS
	800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230-6687
	(614) 835-6068
	(614) 524-0428

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby R Cook
Gender	Female
Speciality	Social Worker - Clinical
Location	800 Cross Pointe Rd Ste 800d, Gahanna, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184283079
Provider Enumeration Date: 06/13/2019
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6002207578
Enrollment ID: I20211217001534

Medical Identifiers

Medical identifiers for Shelby R Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184283079	NPI	-	NPPES
0353922	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW22315 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	1.2103115-SUPV (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby R Cook allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

Entity Name	Cook Counseling And Consulting Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629791363 PECOS PAC ID: 5193192953 Enrollment ID: O20230310001678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby R Cook is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelby R Cook, LISW-S, LCSW-QS 800 Cross Pointe Road, Unit D, Gahanna, OH 43230 Ph: (614) 835-6068	Shelby R Cook, LISW-S, LCSW-QS 800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230-6687 Ph: (614) 835-6068

Reviews and Comments

Social Worker in Gahanna, OH

Rebecca Lynn Hetteberg, MSW LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4625 Morse Rd Ste 200, Gahanna, OH 43230 Phone: 614-383-8381 Fax: 855-259-2615
Leah Mclain, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Officenter Pl Ste 180, Gahanna, OH 43230 Phone: 888-336-1772
Mrs. Marcia Alexis Walker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Taylor Station Rd, Suite Q, Gahanna, OH 43230 Phone: 614-516-6244
Krystal L Martin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 Granville St, Gahanna, OH 43230 Phone: 614-475-7090 Fax: 614-475-5208
Kelly Spears, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230 Phone: 614-835-6068 Fax: 614-524-0428
Sophie Berger, SW-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cross Pointe Rd Ste 800d, Gahanna, OH 43230 Phone: 614-835-6068 Fax: 614-524-0428

Shelby R Cook, LISW-S, LCSW-QS - Medicare Clinical Social Worker in Gahanna, OH