Angela Cord

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4001 Acacia Dr
Crystal Lake, IL 60012-2312

Phone

(224) 357-8430

Fax

(901) 473-8169

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1821401464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 ACACIA DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122312",
            "telephone_number": "224-357-8430",
            "fax_number": "901-473-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 ACACIA DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122312",
            "telephone_number": "224-357-8430",
            "fax_number": "901-473-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORD",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6664",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael George Conway, MSW, LSW, CADC
• Sara Ashley Conway
• David Paul Cook, M.S, M.DIV.
• Fallon Cooper
• Sarah Kathleen Cooper
• Evan R Corsolini, DPT
• Emily Anne Corson
• Otto Alejandro Corzo, LSW
• Jeanne Coulson
• Counseling With Purpose LLC

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, 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 Apr 26, 2023; 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.