Kim S Cocca

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC19862 Issued in ME

Practice address

40 Holyoke Ave
Rumford, ME 04276-2227

Phone

(207) 418-4317

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1205617388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HOLYOKE AVE",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HOLYOKE AVE",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762227",
            "telephone_number": "207-418-4317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Congress St",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "ME",
            "postal_code": "042762035",
            "country_code": "US",
            "telephone_number": "207-418-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCCA",
        "first_name": "KIM",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC19862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rumford, ME
• Providers in Rumford, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.