Organization Active NPI

Hannah Cosdon Counseling, LLC

  • Clinical Social Worker
  • Meadville, PA
National Provider Identifier
1053770438
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016507 Issued in PA
Legal business name
HANNAH COSDON COUNSELING, LLC
Practice address
448 North St
Meadville, PA 16335-2502
Phone
(814) 336-1265
Fax
(814) 333-1262
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Hannah Malka Cosdon, LCSWNPI 1093028276
Title
Owner President
Phone
(814) 336-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW016507 PA Primary

Addresses

Primary practice location

448 North St
Meadville, PA 16335-2502

Mailing address

448 North St
Meadville, PA 16335-2502
Phone (814) 336-1265

Other identifiers 1

IdentifierTypeStateIssuer
CW016507OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160328001573 PA Part B Supplier - Clinic/Group Practice 6901103456 Receives reassigned benefits from 1 practitioner
Practice locations: Meadville, PA

National Provider Directory

National Provider Directory

Locations

448 North St
Meadville, PA 16335
Phone (814) 336-1265

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1053770438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352502",
            "telephone_number": "814-336-1265",
            "fax_number": "814-333-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352502",
            "telephone_number": "814-336-1265",
            "fax_number": "814-333-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH COSDON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "COSDON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "MALKA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "814-336-1265",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CW016507",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.