Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivy Alyssa Cook

Individual provider Clinical Social Worker · NPI 1619636479

Ivy Alyssa Cook is a Clinical Social Worker in Laurinburg, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

821 S Main St
Laurinburg, NC 28352-4724
Phone: (910) 506-2200
Fax: (910) 506-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P018463 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-27726 (NC)

Record details

NPI number1619636479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2021
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address402 Harris Ave, Raeford, NC 28376-3112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Laurinburg