Nicole Anne Coffey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015636 Issued in IL

Practice address

10701 Kilpatrick Ave
Oak Lawn, IL 60453-6203

Phone

(312) 399-2361

NPI assigned

Nov 9, 2020

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Uhs of Hartgrove, Inc.

  • Psychiatric Hospital
  • Chicago, IL
  • NPI 1396012951
  Medicare reassignment NPD
• Uhs of Hartgrove, Inc

  dba UHS of Hartgrove-Chatham Counseling Center

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
  • NPI 1538560339
  NPD
• Uhs of Hartgrove, Inc

  dba Oak Park Counseling Center

  • Child & Adolescent Psychiatry Physician
  • Oak Park, IL
  • NPI 1396981627
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1396347019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 KILPATRICK AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536203",
            "telephone_number": "312-399-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 KILPATRICK AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536203",
            "telephone_number": "312-399-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Coates, M.D.
• Mikiela Danielle Cobb, PSYD
• Bernice Cobbins
• Adele Joy Cobbs, M.D.
• Kenyatta Cochran, OTR/L
• Joan Therese Coghlan, MD
• Patricia Marie Coghlan, SPEECH PATHOLOGIST
• Bradley R. Cogswell, O.D.
• Laura Cohen, LCSW
• Kathleen Colander, PT

• Clinical Social Worker in Oak Lawn, IL
• Providers in Oak Lawn, 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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.