Jessie Kozmoski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06068800 Issued in NJ

Practice address

2 Village Way Unit 1
Vernon, NJ 07462-3113

Phone

(973) 219-3593

NPI assigned

Mar 29, 2022

Last updated

Mar 29, 2022By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlanticare Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1982143954
  NPD
• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556
  NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD
• Elliot Professional Services

  • Psychiatry Physician
  • Manchester, NH
  • NPI 1669431466
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1356081533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE WAY UNIT 1",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623113",
            "telephone_number": "973-219-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VILLAGE WAY UNIT 1",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623113",
            "telephone_number": "973-219-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZMOSKI",
        "first_name": "JESSIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06068800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Jeong DDS LLC (Smile Hero)
• Deividas Jeskevicius
• Nina Kenworthy, PHARM.D.
• Abrar Ali Khan, PHARMD
• Kristopher Paul Korsakoff, M.D.
• Kristopher Korsakoff MD LLC
• David R Langer, D.M.D.
• Thomas Anthony Lanzilotti, M.D., F.A.C.C.
• Laura a. Covucci, D.D.S., P.a. (Vernon Dental Associates)
• Kristy Marie Lavin, L.C.S.W.

• Clinical Social Worker in Vernon, NJ
• Providers in Vernon, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.