Individual provider Active NPI

Joanne Cozzati, M.D.

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1033169347
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000622 Issued in VA
Practice address
2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254
Phone
(540) 903-0243
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000622 VA Primary

Addresses

Primary practice location

2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254

Mailing address

2601 Princess Anne St Ste 101
Fredericksburg, VA 22401-3254
Phone (540) 903-0243

Other identifiers 1

IdentifierTypeStateIssuer
298795OtherVAANTHEM BLUE CROSS AND BLUE SHIELD OF VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000415 VA Practitioner - Clinical Social Worker 1355410259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2601 Princess Anne St
Fredericksburg, VA 22401-3254
Phone (540) 903-0243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0904000622VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Cozzati LCSW PLLC Clinical CurrentSince Aug 13, 2007 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients

Locations

2601 Princess Anne St
Ste 101
Fredericksburg, VA 22401
Phone (540) 368-3011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1033169347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PRINCESS ANNE ST STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013254",
            "telephone_number": "540-903-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PRINCESS ANNE ST STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013254",
            "telephone_number": "540-903-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZATI",
        "first_name": "JOANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD OF VA",
            "identifier": "298795",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.