Tina Cooper, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022222 Issued in IL

Practice address

101 N Wacker Dr FL 17
Chicago, IL 60606-7384

Phone

(312) 898-6721

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Day Glow Wellness LLC

  dba Day Glow Wellness

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1225781982
  NPD Authorized official
• Day Glow Wellness PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1235908070
  NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1952054785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CIRCLE AVE APT 6H",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301667",
            "telephone_number": "708-299-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WACKER DR FL 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067384",
            "telephone_number": "312-898-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TINA",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Cooper, D.D.S.
• Ryan James Cooper, M.D.
• Sara Cooper, MD
• Sarah Elizabeth Cooper, LPC
• Tepinkye Cooper, RN
• Tracy Cooper, OTR/L
• Tracy L Cooper, MSW, LCSW, EI-IMH
• Valerie Cooper, PA-C
• Wayne Elliot Cooper, D.P.M.
• Zach Cooper

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Feb 1, 2022; 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.