Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kelly L S Cook, LICSW

Individual provider Clinical Social Worker · NPI 1790847135

Mrs. Kelly L S Cook, LICSW is a Clinical Social Worker in Edina, Minnesota. Qualified in 2002, 24 years ago. Practices with Affinity Psychological Services PC, a 64-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7401 Metro Blvd Ste 250
Edina, MN 55439-3062
Phone: (320) 403-4013
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence 17541 (MN)

Record details

NPI number1790847135
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 14, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Affinity Psychological Services Pc — 64 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 184 a service is one billed item, such as a visit, a test or a procedure
Average patient age50

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Affinity Psychological Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 64 clinicians in the practice; 12 are shown here.

Other providers in Edina