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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: August 16, 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
Phone(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
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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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL RICHMAN M.D.
Internal Medicine
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 389-3000
JENANNE LUSE APRN
Nurse Practitioner
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 389-3000
PRISCILLA RIVERA APRN
Nurse Practitioner (Adult Health)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 839-3000
ABSOLUTECARE OF ILLINOIS, PLLC
Clinic/Center (Multi-Specialty)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (667) 400-0048
DR. ERIN CRAFT-OTTERBACHER DNP, FNP-C
Nurse Practitioner (Family)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 389-3000
CONSTANCE J SCHOLP APRN
Nurse Practitioner (Adult Health)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (815) 215-7370
LUIS RESENDIZ LCPC
Counselor (Mental Health)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 389-3000
ABSOLUTECARE PHARMACY OF CHICAGO, LLC
Pharmacy (Community/Retail Pharmacy)
2627 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 389-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coketha Hendricks's NPI number?

The NPI number for Coketha Hendricks is 1215553557. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Coketha Hendricks located?

Coketha Hendricks practices at 2627 W Cermak Rd, Chicago, IL 60608. The listed phone number is (312) 413-3282.

What is Coketha Hendricks's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Coketha Hendricks enrolled in Medicare?

Yes. Coketha Hendricks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coketha Hendricks was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.