Organization Active NPI

Coaching With Dr Alicia, LLC

  • Clinical Social Worker
  • Shorewood, IL
National Provider Identifier
1720827520
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COACHING WITH DR ALICIA, LLC
Practice address
25318 W Glen Oaks LN
Shorewood, IL 60404-9331
Phone
(815) 715-4464
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Alicia N Watkins, LCSW
Title
Owner
Phone
(815) 715-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25318 W Glen Oaks LN
Shorewood, IL 60404-9331

Mailing address

25318 W Glen Oaks LN
Shorewood, IL 60404-9331
Phone (815) 715-4464

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1720827520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25318 W GLEN OAKS LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049331",
            "telephone_number": "815-715-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25318 W GLEN OAKS LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049331",
            "telephone_number": "815-715-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHING WITH DR ALICIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-715-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.