Active NPI
Barbara Kozlowski
- Social Worker
- Roseville, CA
National Provider Identifier
1508412206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 98153
- Practice address
- 1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052 - Phone
- (858) 395-4158
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 98153 | CA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
Mailing address
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
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 |
|---|---|---|---|
| 98153 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1508412206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 BLUE OAKS BLVD STE 213",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956787052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1382 BLUE OAKS BLVD STE 213",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956787052",
"telephone_number": "858-395-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-18",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "98153",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.