Individual provider Active NPI

Joaniko Kohchi, MSW, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1235319807
Registry record updated Mar 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080153-1 Issued in NY
Practice address
2715 Bainbridge Ave
Bronx, NY 10458-4075
Phone
(917) 645-5097
Fax
(347) 329-9073
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4912 TN
Clinical Social Worker 1041C0700X 080153-1 NY Primary
Clinical Social Worker 1041C0700X 5800 LA
Clinical Social Worker 1041C0700X LC10211 ME
Clinical Social Worker 1041C0700X 44SC05516300 NJ

Addresses

Primary practice location

2715 Bainbridge Ave
Bronx, NY 10458-4075

Mailing address

2715 Bainbridge Ave
Bronx, NY 10458-4075
Phone (917) 645-5097

Other identifiers 2

IdentifierTypeStateIssuer
4172638MedicaidTN
11805357OtherTNCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5800LAMDProfessional Counselor
LC10211MEMDClinical Social Worker
44SC05516300NJMDClinical Social Worker
080153-1NYMDClinical Social Worker
4912TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Sidney Alexander, M.D., P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426896000000",
    "number": "1235319807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584075",
            "telephone_number": "917-645-5097",
            "fax_number": "347-329-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584075",
            "telephone_number": "917-645-5097",
            "fax_number": "347-329-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHCHI",
        "first_name": "JOANIKO",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2015-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4912",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080153-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05516300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4172638",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11805357",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2015; 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.