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Active NPI 1568119048 Individual Practitioner Male Practitioner

Koi Derrick Cook

Social Worker - Clinical • Moab, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Koi Cook is a certified Social Worker - Clinical practicing in Moab, UT. With approximately 4 years of clinical experience since completing medical education in 2022, Koi Cook delivers high-quality medical care to the local community at 198 E CENTER ST.

Koi Cook is affiliated with Four Corners Community Behavioral Health Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

198 E Center St

Moab, UT 845322430

Telephone 4352596131
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Moab, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.8 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Moab, UT (5603 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cook (4 Years) 4 Yrs
Moab Specialty Average (7.8 Years) 7.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-25
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 12693112-3501

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Hospital & Practice Group Affiliations

Four Corners Community Behavioral Health Inc

575 E 100, Price, UT 845013102

Phone: 4356372358

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
William Wennell , RN

Registered Nurse

NPI 1023655420

Registered Nurse

NPI 1043274160

Doctor of Philosophy (Ph.D.)

Delrea Lilligridge , SSW

Social Worker - Clinical

NPI 1053485219
Matthew Blank

Case Manager/Care Coordinator

NPI 1063151942
Brandy Shumway

Case Manager/Care Coordinator

NPI 1083894018
Richard Donham , LPC

Counselor - Professional

NPI 1114091196

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Social Worker (License #12693112-3501 in UT)

NPI Profile Active March 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2022

Registered at 198 E CENTER ST, MOAB, UT 845322430 (Tel: 4352596131)

📍
Updated Business Mailing Address March 04, 2022

Registered at PO BOX 867, PRICE, UT 845010867 (Tel: 4356377200)

👤
Provider Name / Credentials Updated March 04, 2022

Recorded as KOI COOK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568119048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2022
Last Update: September 25, 2025
Sole Proprietor: No

Mailing Address

Po Box 867

Price, UT 845010867

Phone: 4356377200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.