Individual provider Active NPI

Jennifer Cosolito, MSW

  • Social Worker
  • Bremen, GA
National Provider Identifier
1457925463
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1449 Temple Rd
Bremen, GA 30110-2378
Phone
(770) 537-2367
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X
School Social Worker 1041S0200X

Addresses

Primary practice location

1449 Temple Rd
Bremen, GA 30110-2378

Mailing address

5512 E Stoneway CT
Villa Rica, GA 30180-8601
Phone (772) 485-0419

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL c:* Health Information Exchange (HIE) Haralson Behavioral Health Services

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

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1457925463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E STONEWAY CT",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808601",
            "telephone_number": "772-485-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 TEMPLE RD",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102378",
            "telephone_number": "770-537-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSOLITO",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "c:*",
            "affiliation": "Y",
            "endpointDescription": "Hard Drive",
            "affiliationName": "Haralson Behavioral Health Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1449 Temple Rd",
            "city": "Bremen",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301102378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.