Individual provider Active NPI

Hannah Malka Cosdon, LCSW

  • Clinical Social Worker
  • Meadville, PA
National Provider Identifier
1093028276
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016507 Issued in PA
Practice address
448 North St
Meadville, PA 16335-2502
Phone
(814) 336-1265
Fax
(814) 333-1262
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 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
CW016507OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160328001632 PA Practitioner - Clinical Social Worker 7719284264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016507PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Cosdon Counseling, LLC Clinical CurrentSince Mar 1, 2016 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1093028276",
    "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": {
        "last_name": "COSDON",
        "first_name": "HANNAH",
        "middle_name": "MALKA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CW016507",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.