Kevin M Kozin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117008 Issued in MA

Practice address

76 Bedford St
Suite 22
Lexington, MA 02420-4646

Phone

(781) 325-1858

Fax

(617) 249-1530

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1164778387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SCHOOL ST # 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525519",
            "telephone_number": "781-325-1858",
            "fax_number": "617-249-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 22",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-325-1858",
            "fax_number": "617-249-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Kondurova
• Georgia Kondylis, BA
• Risa J Korn, M.D.
• Leah Juliet Kornguth, OT
• Re Becca Lynn Kosterman, LICSW
• Jessica A Krass, NP
• Allison Paige Kroeger, LICSW
• Kthryn P. Rapperport, MD, PC
• Shiei Kuida
• Radha Suhas Kulkarni

• Clinical Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.