Individual provider Active NPI

Joanne Fay Koster, MSW,LCSW

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1386854487
Registry record updated Jun 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004505 Issued in NC
Practice address
620 Lynndale CT Ste a
Greenville, NC 27858-5462
Phone
(252) 714-4324
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2009

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 C004505 NC Primary

Addresses

Primary practice location

620 Lynndale CT Ste a
Greenville, NC 27858-5462

Mailing address

620 Lynndale CT Ste a
Greenville, NC 27858-5462
Phone (252) 714-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20091007000302 NC Practitioner - Clinical Social Worker 4981750874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

219 Commerce St
Suite B
Greenville, NC 27858-5031
Phone (252) 714-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Koster PLLC Clinical CurrentSince Jul 28, 2009 Accepting new patients

Locations

219 Commerce St
Ste B
Greenville, NC 27858
Phone (252) 756-7830

2459 Emerald Pl
Ste 104
Greenville, NC 27834
Phone (252) 665-1503

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245542400000",
    "number": "1386854487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585462",
            "telephone_number": "252-714-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585462",
            "telephone_number": "252-714-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "JOANNE",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.