Organization Active NPI

Joanne Koster PLLC

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1205069903
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004505 Issued in NC
Legal business name
JOANNE KOSTER PLLC
Practice address
219 Commerce St Ste B
Greenville, NC 27858-5031
Phone
(252) 714-4324
Fax
(252) 756-7572
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Ms. Joanne Koster, LCSWNPI 1386854487
Title
Manager
Phone
(252) 714-4324

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 C004505 NC Primary

Addresses

Primary practice location

219 Commerce St Ste B
Greenville, NC 27858-5031

Mailing address

6012 NC 43 S
Greenville, NC 27858-9073
Phone (252) 714-4324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000320 NC Part B Supplier - Clinic/Group Practice 0547306458 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

219 Commerce St
Ste B
Greenville, NC 27858
Phone (252) 756-7830

2459 Emerald Pl
Ste 104
Greenville, NC 27834
Phone (252) 665-1503

Practitioners & affiliated clinicians

Practitioners 1

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1205069903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 NC 43 S",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589073",
            "telephone_number": "252-714-4324",
            "fax_number": "252-756-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COMMERCE ST STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585031",
            "telephone_number": "252-714-4324",
            "fax_number": "252-756-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE KOSTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-714-4324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.