Active NPI
Debra Sati Kohn, LISW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1083785141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1-0100
- Practice address
- 615 Calle de Leon
Santa Fe, NM 87505-7303 - Phone
- (505) 982-8735
- Fax
- (505) 982-0264
- NPI assigned
- Nov 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1-0100 | NM | Primary |
Addresses
Primary practice location
615 Calle de Leon
Santa Fe, NM 87505-7303
Mailing address
615 Calle de Leon
Santa Fe, NM 87505-7303
Phone (505) 982-8735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205778 | Medicaid | NM |
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 |
|---|---|---|---|
| 1-0100 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083785141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CALLE DE LEON",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057303",
"telephone_number": "505-982-8735",
"fax_number": "505-982-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CALLE DE LEON",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057303",
"telephone_number": "505-982-8735",
"fax_number": "505-982-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "DEBRA",
"middle_name": "SATI",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "1-0100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205778",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.