Samuel Cohen, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.111307 Issued in IL

Practice address

663 S Academy St
Galesburg, IL 61401-5840

Phone

(847) 691-1779

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: samuel.cohen.1@22469.direct.athenahealth.com

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1386423317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 S ACADEMY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015840",
            "telephone_number": "847-691-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 S ACADEMY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015840",
            "telephone_number": "847-691-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.111307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Claeys, FNP-C
• Barbara JB Clark, MPAS PAC
• Maria Cleto-Quiaoit, M.D.
• Clinical Colleagues LLC
• Spencer Cochrane
• Janet L. Collopy
• Community Hospices of America, LLC (Hospice Compassus - Northwest Illinois)
• Community Living Options
• Community Living Options Inc (Trulson House)
• Community Living Options Inc (Hawthorne Terrace)

• Clinical Social Worker in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.