Active NPI
Emily Jane Cohen, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1760535488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011032
- Practice address
- 47 West Polk Street
Suite 100 #531
Chicago, IL 60605-2085 - Phone
- (773) 655-9404
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2550881 | KY | |
| Clinical Social Worker | 1041C0700X | 149011032 | IL | Primary |
Addresses
Primary practice location
47 West Polk Street
Suite 100 #531
Chicago, IL 60605-2085
Mailing address
47 West Polk Street
Suite 100 #531
Chicago, IL 60605-2085
Phone (773) 655-9404
Other practice location 1
4502 Salvatore Way
Louisville, KY 40241-6448
Phone (773) 655-9404
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149011032 | IL | MD | Clinical Social Worker |
| 2550881 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Behavioral Health | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1477622298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1760535488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WEST POLK STREET",
"address_2": "SUITE 100 #531",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052085",
"telephone_number": "773-655-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WEST POLK STREET",
"address_2": "SUITE 100 #531",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052085",
"telephone_number": "773-655-9404"
}
],
"practiceLocations": [
{
"address_1": "4502 Salvatore Way",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402416448",
"country_code": "US",
"telephone_number": "773-655-9404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "2550881",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.