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

Mr. Jerry Alan Cooke, LISWLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033284229

Mr. Jerry Alan Cooke, LISWLADC is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico and Oklahoma.

Years since qualifying
45
Licensed in
NM, OK
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

234 Avenida Eldorado
Santa Fe, NM 87508-2221
Phone: (505) 466-6710
Fax: (505) 466-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I0879 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 348 (OK)

Record details

NPI number1033284229
Entity typeIndividual (Type 1)
GenderMale
Credentials LISWLADC
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Fe