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

Koi Derrick Cook

Individual provider Clinical Social Worker · NPI 1568119048

Koi Derrick Cook is a Clinical Social Worker in Moab, Utah. Qualified in 2022, 4 years ago. Practices with Four Corners Community Behavioral Health Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

198 E Center St
Moab, UT 84532-2430
Phone: (435) 259-6131
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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 12693112-3501 (UT)

Record details

NPI number1568119048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 867, Price, UT 84501-0867

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)
Group practice Four Corners Community Behavioral Health Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moab