Organization Active NPI

The Cove Psychotherapy

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1962218594
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE COVE PSYCHOTHERAPY
Practice address
5352 N Mont Clare Ave
Chicago, IL 60656-1969
Phone
(312) 351-4012
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Julia F CiurdarNPI 1750805289
Title
LCSW
Phone
(312) 351-4012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5352 N Mont Clare Ave
Chicago, IL 60656-1969

Mailing address

5352 N Mont Clare Ave
Chicago, IL 60656-1969
Phone (312) 351-4012

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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1962218594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N MONT CLARE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561969",
            "telephone_number": "312-351-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 N MONT CLARE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561969",
            "telephone_number": "312-351-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "CIURDAR",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "312-351-4012"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.