Active NPI
Stamatina Heather Kokkoris, RCSWI
- Clinical Social Worker
- Lake Worth, FL
National Provider Identifier
1467968412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW20277
- Practice address
- 4905 Lantana Rd
Lake Worth, FL 33463-6915 - Phone
- (561) 340-7269
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW20277 | FL | Primary |
Addresses
Primary practice location
4905 Lantana Rd
Lake Worth, FL 33463-6915
Mailing address
1913 Abbey Rd
West Palm Beach, FL 33415-7463
Phone (954) 278-4479
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW20277 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1467968412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 ABBEY RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334157463",
"telephone_number": "954-278-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 LANTANA RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636915",
"telephone_number": "561-340-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKKORIS",
"first_name": "STAMATINA",
"middle_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "RCSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW20277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.