Active NPI
Kristen Kozey
- Clinical Social Worker
- Eastford, CT
National Provider Identifier
1326606468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 012424
- Practice address
- 77 Kozey Rd
Eastford, CT 06242-9712 - Phone
- (860) 933-8587
- NPI assigned
- Jun 4, 2019
- Last updated
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 012424 | CT | Primary |
Addresses
Primary practice location
77 Kozey Rd
Eastford, CT 06242-9712
Mailing address
150 Country Squire Dr Unit 5202
Cromwell, CT 06416-2647
Phone (860) 455-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077550 | Medicaid | NH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012424 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kozey Greene Wellness | Current | Accepting new patients | |
| West Central Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Eastford, CT
- NPI 1649863705
-
dba West Central Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1326606468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 COUNTRY SQUIRE DR UNIT 5202",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162647",
"telephone_number": "860-455-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 KOZEY RD",
"city": "EASTFORD",
"state": "CT",
"postal_code": "062429712",
"telephone_number": "860-933-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZEY",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "012424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077550",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.