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

Kimberly L Cook, LCSW

Individual provider Social Worker · NPI 1215633490

Kimberly L Cook, LCSW is a Clinical Social Worker in Durham, North Carolina. Qualified in 2019, 7 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
7
Licensed in
NC, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5306 Nc Highway 55 Ste 105
Durham, NC 27713-7812
Phone: (919) 457-1517
Fax: (919) 363-7697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243
  • 4975 Lacross Rd Ste 351, North Charleston, SC 29406-6530 — (855) 284-7483

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C016267 (NC)
Social Worker Taxonomy 104100000X · Licence 13357 (SC)

Record details

NPI number1215633490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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