Individual provider Active NPI

Daria Cooper, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1982184958
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020808 Issued in IL
Practice address
351 W Hubbard St Ste 210
Chicago, IL 60654-4493
Phone
(773) 972-9145
NPI assigned
Aug 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.013167 IL
Clinical Social Worker 1041C0700X 149.020808 IL Primary

Addresses

Primary practice location

351 W Hubbard St Ste 210
Chicago, IL 60654-4493

Mailing address

5510 N Kenmore Ave Apt 2a
Chicago, IL 60640-1537

Other practice location 1

414 N Orleans St Ste 210
Chicago, IL 60654-4493
Phone (312) 377-9592

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

LicenseStateTypeSpecialty
150.013167ILMDSocial Worker
149.020808ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Paths Counseling PLLC Clinical CurrentSince Dec 27, 2020 Accepting new patients

Locations

414 N Orleans St
Ste 210
Chicago, IL 60654
Phone (312) 377-9592

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": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1982184958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N KENMORE AVE APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W HUBBARD ST STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544493",
            "telephone_number": "773-972-9145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Orleans St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544493",
            "country_code": "US",
            "telephone_number": "312-377-9592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020808",
            "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 Jan 10, 2021; 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.