John Codd, L.C.S.W., C.A.D.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007057 Issued in IL

Practice address

3759 N Ravenswood Ave
Suite 133
Chicago, IL 60613-3571

Phone

(773) 351-7101

NPI assigned

Jan 19, 2015

Last updated

Jan 19, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

• Head Heart Therapy Inc

  • Professional Counselor
  • Chicago, IL
  • NPI 1720407679

  Clinical

  NPD

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1649669367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE",
            "address_2": "SUITE 133",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133571",
            "telephone_number": "773-351-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE",
            "address_2": "SUITE 133",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133571",
            "telephone_number": "773-351-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODD",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Cockrell- Tapalla, FNP-BC
• Abigail Coco
• Anna Marie Coco
• Sarah Marie Cocoma, M.D.
• Cocreate Prof Corp
• Kaitlin Codd, PT, DPT
• Christina Ethelyn Coderre, DNP
• Kelly Coderre
• Nathaniel Codina, OTR-L
• Marteki Codjoe, DMD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jan 19, 2015; 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.