David Kozak, MSW, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014528 Issued in NC

Practice address

203 N Main St Ste 216
Roxboro, NC 27573-5343

Phone

(336) 322-0657

NPI assigned

Dec 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Matchbox Health Services Corporation

  • Community/Behavioral Health Agency
  • Roxboro, NC
  • NPI 1508021080
  NPD (past)
• MHS Unlimited,Corporation

  • Community/Behavioral Health Agency
  • Roxboro, NC
  • NPI 1558782797
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1013512367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LOUISIANA DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766017",
            "telephone_number": "910-585-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST STE 216",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735343",
            "telephone_number": "336-322-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "DAVID",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Kilgore, PT
• Catherine Kilonzo, FNP
• Jasmine King, PHARMD
• Russell Knop
• Joseph Christian Koelling, AGNP
• Judith Kramer
• Krram-Z,LLC
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Gunther Lallinger, MD, MPH, FACP

• Clinical Social Worker in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.