Edward K Koo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC15543 Issued in CA

Practice address

729 Filbert St
San Francisco, CA 94133-2760

Phone

(415) 352-2000

Fax

(415) 352-2050

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1497872154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "EDWARD",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LC15543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "6761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "6761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konrad H NG, MD Inc.
• Konstantin Bukov, M.D. Inc
• Carly Kontra
• Brandon Hyunmo Koo, MD
• Chih Ren Nicholas Koo
• John Y.M. Koo, MD
• Jason Wyeth Koob, M.D.
• Makayla Mary Koochou, OD
• Ali Reza Koopah, D.D.S.
• Amir R Koopah, D.D.S.

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.