Michaela Sparling Kozaczka, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

217530 Issued in MA

Practice address

484 Main St
Worcester, MA 01608-1893

Phone

(508) 890-6519

Fax

(508) 363-0562

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1356770523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FALL DR",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323206",
            "telephone_number": "603-312-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081893",
            "telephone_number": "508-890-6519",
            "fax_number": "508-363-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZACZKA",
        "first_name": "MICHAELA",
        "middle_name": "SPARLING",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "217530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana I. Kouznetsov, MD
• Kelsey Grace Kovach, RBT
• Lara Kovell
• Christine Marie Kowalchek, LICSW
• Rebecca E Kowaloff, DO
• Aidis S. Kozica, D.D.S.
• Susan L Kozicz, NP
• Margaret J Koziel, MD
• Hanna Rae Kozlowski
• Hannah Kozlowski, RD

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.