Healthcare Provider Details

I. General information

NPI: 1972604403
Provider Name (Legal Business Name): DENISE KAY COTTINGHAM MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N BROADWELL AVE
GRAND ISLAND NE
68803-2153
US

IV. Provider business mailing address

310 S. COLLEGE ST.
PAXTON IL
60957
US

V. Phone/Fax

Practice location:
  • Phone: 308-535-2661
  • Fax: 308-395-3410
Mailing address:
  • Phone: 217-379-4126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.015205
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: