Individual provider Active NPI

Annalese Coogan, LCSW

  • Clinical Social Worker
  • Moriches, NY
National Provider Identifier
1245794627
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093587 Issued in NY
Practice address
75 Wildflower CT Apt 11
Moriches, NY 11955-2030
Phone
(631) 291-0157
NPI assigned
Jan 30, 2019
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 093587 NY Primary

Addresses

Primary practice location

75 Wildflower CT Apt 11
Moriches, NY 11955-2030

Mailing address

75 Wildflower CT Apt 11
Moriches, NY 11955-2030
Phone (631) 291-0157

Other identifiers 1

IdentifierTypeStateIssuer
102271-1MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MI, IL, WI, CT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220726001959 NY Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization
I20240909002572 NJ Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization
I20250107002792 MI Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization
I20250117000218 IL Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization
I20250203001951 WI Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization
I20250306001133 CT Practitioner - Clinical Social Worker 4486036274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians
Aldad Medical NJ PCGroup PAC ID 4981011988, 10 clinicians

Practice addresses (Care Compare)

130 Morgan St
Stamford, CT 06905-5431
Phone (516) 505-7200

1433 N Water St
Suite 400
Milwaukee, WI 53202-2603
Phone (516) 505-7200

150 Motor Pkwy
Suite 401
Hauppauge, NY 11788-5108
Phone (516) 505-7200

159 N Sangamon St
Suite 200
Chicago, IL 60607-2201
Phone (516) 505-7200

200 S 1St St
Ann Arbor, MI 48104-1306
Phone (516) 505-7200

221 River St
Suite 901
Hoboken, NJ 07030-5989
Phone (516) 505-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Jul 1, 2022 Accepting new patients
Aldad Medical NJ, P.C CurrentSince Sep 1, 2024 Accepting new patients
Advanced Health Sports & Occupation PastSince Mar 5, 2025 Accepting new patients

Locations

130 Morgan St
Stamford, CT 06905
Phone (203) 348-0123

263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337

159 N Sangamon St
Ste 200
Chicago, IL 60607
Phone (312) 549-8076

200 S 1st St
Ann Arbor, MI 48104
Phone (718) 909-0464

2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880

221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252

150 Motor Pkwy
Ste 401
Hauppauge, NY 11788
Phone (631) 434-5857

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

1433 N Water St
Ste 400
Milwaukee, WI 53202
Phone (414) 207-4601

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1245794627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WILDFLOWER CT APT 11",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119552030",
            "telephone_number": "631-291-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WILDFLOWER CT APT 11",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119552030",
            "telephone_number": "631-291-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "ANNALESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102271-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

Verify at the official NPI Registry.