Individual provider Active NPI

Barbara Ann Koskos, LCSW

  • Clinical Social Worker
  • Wappingers Falls, NY
National Provider Identifier
1316002777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036802-1 Issued in NY
Practice address
128 Cider Mill Loop
Wappingers Falls, NY 12590-3352
Phone
(845) 297-9143
Fax
(845) 297-9143
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R036802-1 NY Primary

Addresses

Primary practice location

128 Cider Mill Loop
Wappingers Falls, NY 12590-3352

Mailing address

128 Cider Mill Loop
Wappingers Falls, NY 12590-3352
Phone (845) 297-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000342 NY Practitioner - Clinical Social Worker 4688853583 Practice locations: Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 Cider Mill Loop
Wappingers Falls, NY 12590-3352
Phone (845) 297-9143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R036802-1NYMDClinical Social Worker
036802NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316002777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CIDER MILL LOOP",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903352",
            "telephone_number": "845-297-9143",
            "fax_number": "845-297-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CIDER MILL LOOP",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903352",
            "telephone_number": "845-297-9143",
            "fax_number": "845-297-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKOS",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036802-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.