Active NPI
Koziol Therapy and Coaching, LLC
- Clinical Social Worker
- Wilmette, IL
National Provider Identifier
1205286440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017528
- Legal business name
- KOZIOL THERAPY AND COACHING, LLC
- Practice address
- 1159 Wilmette Ave
Suite 9
Wilmette, IL 60091-2649 - Phone
- (773) 372-5996
- NPI assigned
- Jun 19, 2016
- Last updated
- Jun 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wioleta Koziol, LCSW
- Title
- Owner
- Phone
- (773) 372-5996
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.017528 | IL | Primary |
Addresses
Primary practice location
1159 Wilmette Ave
Suite 9
Wilmette, IL 60091-2649
Mailing address
5348 N Cumberland Ave
Apt. 502
Chicago, IL 60656-1409
Phone (773) 372-5996
National Provider Directory
National Provider DirectoryLocations
2804 W Belmont Ave
Ste 103
Chicago, IL 60618
Phone (224) 504-9854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1639627813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466294400000",
"number": "1205286440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5348 N CUMBERLAND AVE",
"address_2": "APT. 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561409",
"telephone_number": "773-372-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 WILMETTE AVE",
"address_2": "SUITE 9",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912649",
"telephone_number": "773-372-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOZIOL THERAPY AND COACHING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-19",
"last_updated": "2016-06-19",
"status": "A",
"authorized_official_last_name": "KOZIOL",
"authorized_official_first_name": "WIOLETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-372-5996",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.017528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.