Provider Demographics
NPI:1972604403
Name:COTTINGHAM, DENISE KAY (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:KAY
Last Name:COTTINGHAM
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S. COLLEGE ST.
Mailing Address - Street 2:
Mailing Address - City:PAXTON
Mailing Address - State:IL
Mailing Address - Zip Code:60957
Mailing Address - Country:US
Mailing Address - Phone:217-379-4126
Mailing Address - Fax:
Practice Address - Street 1:VA ILLIANA HEALTH CARE SYSTEM
Practice Address - Street 2:1900 E. MAIN ST.
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832
Practice Address - Country:US
Practice Address - Phone:217-554-5758
Practice Address - Fax:217-554-4815
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker