Deanna Kozlowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014480 Issued in IL

Practice address

18161 Morris Ave
Suite 102
Homewood, IL 60430-2108

Phone

(708) 724-9355

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By 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

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avalon Center

  • Community/Behavioral Health Agency
  • Mason City, IA
  • NPI 1003969148
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1356640841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 MORRIS AVE",
            "address_2": "SUITE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 MORRIS AVE",
            "address_2": "SUITE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302108",
            "telephone_number": "708-724-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "DEANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KM Snyder & Associates (KM Snyder, LLC)
• Robin Latrice Knight, L.C.S.W.
• Christian Knighten
• Pamela P Kontos, NP
• Mark Kowalik, PHARMD
• Mitchell A Krawczyk, MD
• Kre Behavioral Health Services LLC
• Emily Marie Kreucher, DNP
• James J Kreuz Sr., D.D.S.
• Kelsey Kryszak, BCBA

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.