Individual provider Active NPI

Eva Cozzi, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1891236980
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016129 Issued in IL
Practice address
101 1/2 E Front St Ste 104
Wheaton, IL 60187-5334
Phone
(630) 216-4038
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149016129 IL Primary

Addresses

Primary practice location

101 1/2 E Front St Ste 104
Wheaton, IL 60187-5334

Mailing address

18W182 73Rd St
Darien, IL 60561-3737

Other practice location 1

4923 Main St
Downers Grove, IL 60515-3654
Phone (630) 206-0272 ext. 17

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149016129ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cozzi Clinical Services LLC Clinical CurrentSince Dec 15, 2019 Accepting new patients

Locations

101 E Front St
Ste 104
Wheaton, IL 60187
Phone (630) 216-4038

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1891236980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W182 73RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1/2 E FRONT ST STE 104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875334",
            "telephone_number": "630-216-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4923 Main St",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153654",
            "country_code": "US",
            "telephone_number": "630-206-0272 x17",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COZZI",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.