Organization Active NPI

Coco Health Management, LLC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1871070243
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019984 Issued in IL
Legal business name
COCO HEALTH MANAGEMENT, LLC
Practice address
800 Elgin Rd Apt 1515
Evanston, IL 60201-5630
Phone
(224) 307-6915
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Daniela Vosti, LCSW
Title
Clinical Director
Phone
(224) 307-6915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.019984 IL Primary

Addresses

Primary practice location

800 Elgin Rd Apt 1515
Evanston, IL 60201-5630

Mailing address

800 Elgin Rd Apt 1515
Evanston, IL 60201-5630
Phone (224) 307-6915

Other identifiers 3

IdentifierTypeStateIssuer
1134590649OtherTYPE I NPI
149.019984OtherILLCSW
14199014OtherILCAHQ

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1871070243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ELGIN RD APT 1515",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015630",
            "telephone_number": "224-307-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ELGIN RD APT 1515",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015630",
            "telephone_number": "224-307-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCO HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "VOSTI",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "224-307-6915",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1134590649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149.019984",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHQ",
            "identifier": "14199014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.