Individual provider Active NPI

Mary Emma Cook, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356016679
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026419 Issued in IL
Practice address
5341 S Maryland Ave
Chicago, IL 60615-4903
Phone
(708) 803-2682
NPI assigned
Aug 9, 2021
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.105354 IL
Clinical Social Worker 1041C0700X 149.026419 IL Primary

Addresses

Primary practice location

5341 S Maryland Ave
Chicago, IL 60615-4903

Mailing address

680 N Lake Shore Dr Ste 110-1496
Chicago, IL 60611-4546
Phone (708) 803-2682

Other practice location 1

1800 Ravinia Pl
Orland Park, IL 60462-3761
Phone (708) 403-7570

Other identifiers 1

IdentifierTypeStateIssuer
15371756OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260507000307 IL Practitioner - Clinical Social Worker 1759859853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emotion Management Program LLCGroup PAC ID 8628171360, 5 clinicians

Practice addresses (Care Compare)

1800 Ravinia PL
Orland Park, IL 60462-3761
Phone (708) 403-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.105354ILMDSocial Worker
149.026419ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emotion Management Program LLC CurrentSince May 1, 2026 Accepting new patients
Connect Psychotherapy, PLLC Clinical CurrentSince Jun 9, 2024 Accepting new patients

Locations

230 E Ohio St
Ste 4101496
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1101496
Chicago, IL 60611

1800 Ravinia Pl
Orland Park, IL 60462
Phone (708) 403-7570

Organizations & group practices 2

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1356016679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1496",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "708-803-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154903",
            "telephone_number": "708-803-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Ravinia Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623761",
            "country_code": "US",
            "telephone_number": "708-403-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARY",
        "middle_name": "EMMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105354",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15371756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.