Individual provider Active NPI

Emily Jane Cohen, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1760535488
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011032 Issued in IL
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

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
149011032ILMDClinical Social Worker
2550881KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.