Antonise Cox
Individual provider Active NPI Clinical Social Worker · Richton Park, IL
NPI 1417675554 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1417675554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149020749 (IL)
- Practice address
- 6279 Oxnard CT
Richton Park, IL 60471-3064 - Phone
- (773) 263-8834
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149020749 | IL | MD | Clinical Social Worker |
| 2465288 | IL | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2465288 | IL | |
| Clinical Social Worker | 1041C0700X | 149020749 | IL | Yes |
Addresses
Primary practice location
6279 Oxnard CT
Richton Park, IL 60471-3064
Mailing address
6279 Oxnard CT
Richton Park, IL 60471-3064
Phone (773) 263-8834
Other providers in Richton Park, IL
- Deborah Jean Chiles
- Clear Path Home Healthcare, Inc.
- Nicole Jovan Coleman
- Wanda Cook Logan
- Counseling With Care Incorporated
- Custom Healing and Wellness Inc
- Sherwin Cabahit Dadios
- Alana Davis
- Anita Davis
- Tonya Dawson Sr.
All providers in Richton Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.