Active NPI
Carol Jean Cowen, LCSW
- Clinical Social Worker
- Buffalo Grove, IL
National Provider Identifier
1477000438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149002003
- Practice address
- 275 W Dundee Rd
Buffalo Grove, IL 60089-3704 - Phone
- (847) 777-8995
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149002003 | IL | Primary |
Addresses
Primary practice location
275 W Dundee Rd
Buffalo Grove, IL 60089-3704
Mailing address
540 Hawthorne Rd
Buffalo Grove, IL 60089-4743
Phone (847) 274-9643
Other names 1
- Carol J Isaacs-Cowen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149002003 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In2Great | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1477000438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 HAWTHORNE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894743",
"telephone_number": "847-274-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893704",
"telephone_number": "847-777-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWEN",
"first_name": "CAROL",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149002003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "ISAACS-COWEN",
"middle_name": "J",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.