Active NPI
Cheryl Ann Koskinen, ACSW
- Social Worker
- San Carlos, CA
National Provider Identifier
1013029107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17453
- Practice address
- 957 B Industrial Rd
San Carlos, CA 94070 - Phone
- (800) 496-3019
- Fax
- (650) 620-9549
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 17453 | CA | Primary |
Addresses
Primary practice location
957 B Industrial Rd
San Carlos, CA 94070
Mailing address
70 Cumberland St
San Francisco, CA 94110
Phone (415) 647-2534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17453 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013029107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 CUMBERLAND ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-647-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 B INDUSTRIAL RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "94070",
"telephone_number": "800-496-3019",
"fax_number": "650-620-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKINEN",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "17453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.