Organization Active NPI

Koziol Therapy and Coaching, LLC

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1205286440
Registry record updated Jun 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017528 Issued in IL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wioleta Koziol, LCSWNPI 1639627813
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.