Olivia Kozarev, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

79904 Issued in CA

Practice address

1252 Broadway Ste I
El Cajon, CA 92021-4904

Phone

(619) 375-1733

Fax

(619) 684-6078

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. David Hahn Psychologist PC

  • Clinical Psychologist
  • El Cajon, CA
  • NPI 1104161439
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003211343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY STE I",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214904",
            "telephone_number": "619-375-1733",
            "fax_number": "619-684-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY STE I",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214904",
            "telephone_number": "619-375-1733",
            "fax_number": "619-684-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Morena Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103850",
            "country_code": "US",
            "telephone_number": "619-398-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZAREV",
        "first_name": "OLIVIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yosuf Korel, D.D.S.
• Ebtissam H Korkis, MD
• Vivian K Korkis
• Charlett Marie Korling
• John J Kownacki, MD
• Marc Ian Kraidman
• Anita Debra Kramer, OTR/L
• Mark Gradwell Krause, DC
• Steven E Krause, D.D.S.
• Nancy Asta Krueger, PT

• Clinical Social Worker in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.