NPIMap

Individual provider Active NPI

Frank Dicostanzo, MSW

  • Social Worker
  • Lakewood, WA
National Provider Identifier
1033437488
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SA 60150521 Issued in WA
Practice address
10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346
Phone
(153) 473-7474
Fax
(253) 474-9724
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SA 60150521 WA Primary

Addresses

Primary practice location

10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346

Mailing address

18130 Lisa LN SE
Yelm, WA 98597-8597
Phone (253) 576-3430

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 60150521WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center, Inc. Past Accepting new patients
Crossroads Treatment Center Inc Past Accepting new patients

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1033437488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18130 LISA LN SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978597",
            "telephone_number": "253-576-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 GRAVELLY LAKE DR SW STE 204",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991346",
            "telephone_number": "153-473-7474",
            "fax_number": "253-474-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOSTANZO",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SA 60150521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.