COKETHA SAMYRA JEAN HENDRICKS LCSW
NPI 1215553557
Social Worker - Clinical in Chicago, IL

Active since June 23, 2020PECOS Enrolled
2627 W CERMAK RD, CHICAGO, IL 60608(312) 413-3282 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, Jun 23, 2020 (2 updates tracked since 2020).

About Coketha Samyra Jean Hendricks Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COKETHA SAMYRA JEAN HENDRICKS LCSW (NPI 1215553557) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149019293) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215553557
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOKETHA SAMYRA JEAN HENDRICKSCredential: LCSW
Location Address2627 W CERMAK RDChicago, IL 60608-3514
Mailing Address2627 W Cermak RdChicago, IL 60608-3514 · (312) 413-3282
Sole ProprietorNo
Enumeration DateJune 23, 2020
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1215553557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149019293
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2627 W CERMAK RD, Chicago, IL 60608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Coketha Samyra Jean Hendricks Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60608 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
2627 W CERMAK RD
CHICAGO, IL 60608
Internal Medicine
2627 W CERMAK RD
CHICAGO, IL 60608
Nurse Practitioner (Family)
2627 W CERMAK RD
CHICAGO, IL 60608
Counselor (Mental Health)
2627 W CERMAK RD
CHICAGO, IL 60608
Nurse Practitioner (Adult Health)
2627 W CERMAK RD
CHICAGO, IL 60608
Nurse Practitioner (Gerontology)
2627 W CERMAK RD
CHICAGO, IL 60608
Pharmacy (Community/Retail Pharmacy)
2627 W CERMAK RD
CHICAGO, IL 60608
Nurse Practitioner
2627 W CERMAK RD
CHICAGO, IL 60608
Nurse Practitioner (Adult Health)
2627 W CERMAK RD
CHICAGO, IL 60608

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215553557, enumerated as an "individual" on June 23, 2020.

The provider is located at 2627 W CERMAK RD CHICAGO, IL 60608 and the phone number is (312) 413-3282.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.