Active NPI
Daniel R Cotton, MSW
- Clinical Social Worker
- Glen Ellyn, IL
National Provider Identifier
1871603720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 799 Roosevelt Rd # 3-104a
Glen Ellyn, IL 60137-5908 - Phone
- (630) 240-0147
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
799 Roosevelt Rd # 3-104a
Glen Ellyn, IL 60137-5908
Mailing address
6099 Mill Bridge LN
Lisle, IL 60532-2864
Phone (630) 240-0147
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223226 | Other | IL | BLUE CROSS BLUE SHIELD |
| 293793 | Other | IL | MHN |
| 691275 | Other | IL | FIRST HEALTH |
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 |
|---|---|---|---|
| 149-005323 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871603720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6099 MILL BRIDGE LN",
"city": "LISLE",
"state": "IL",
"postal_code": "605322864",
"telephone_number": "630-240-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 ROOSEVELT RD # 3-104A",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375908",
"telephone_number": "630-240-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "DANIEL",
"middle_name": "R",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "223226",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "293793",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "691275",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
- Wayne Corapi
- Core PT Limited Partnership
- Corepoint Diagnostics LLC
- Renee Corner, OT
- Sandra Costello, LCSW
- Counsel Psychotherapy & Coaching PLLC
- County of Dupage Department of Health (DuPage County Health Department - Glen Ellyn Woods Group Home (GEWGH))
- Jason Cox, L.AC
- Matthew David Cox, M.D.
- William Coyer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.