Provider Demographics
NPI:1982204889
Name:COTTO, EMILY (LSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:COTTO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 W 111TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-2715
Mailing Address - Country:US
Mailing Address - Phone:312-469-0486
Mailing Address - Fax:
Practice Address - Street 1:521 S LA GRANGE RD STE 201
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-5633
Practice Address - Country:US
Practice Address - Phone:312-469-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker