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NPI Code Detail

MEDICARE: GLORIA MARIN COCKERILL LCSW

MEDICARE:   GLORIA MARIN COCKERILL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149011067IL

General Provider Information

NPI Number : 1740446368
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA MARIN COCKERILL LCSW
Provider Business Mailing Address
First Line : 1153 S TAYLOR AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60304-2233
Country : US
Telephone Number : 708-476-0692
Fax Number :
Provider Business Practice Location Address
First Line : 1133 W 13TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1881
Country : US
Telephone Number : 312-320-6305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2008
Last Update Date : 07/22/2025

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Directions to “ GLORIA MARIN COCKERILL LCSW” Practice Location

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