Susan Kohnstam, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9455 Issued in FL

Practice address

126 Montelluna Dr
North Venice, FL 34275-6613

Phone

(941) 488-6166

NPI assigned

Jun 3, 2009

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)

Enrolled

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1306072392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MONTELLUNA DR",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756613",
            "telephone_number": "941-488-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MONTELLUNA DR",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756613",
            "telephone_number": "941-488-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNSTAM",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Hefler, MD
• Melissa Marie Hirsh I, ANP-BC
• Jessica Holle
• Home Sweet Home Physical Therapy
• Noshaba Khaliq, PA
• Carmen Kotfisz
• Donna L. Krevinko, CRNA
• Alla Krinsky, DPT
• Sara Kutner, PHARMD
• Stephanie Labrin, APRN

• Clinical Social Worker in North Venice, FL
• Providers in North Venice, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.