Individual provider Active NPI

Josephine Kokarev, MSW

  • Clinical Social Worker
  • Sun City Center, FL
National Provider Identifier
1508866062
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22626 Issued in FL
Practice address
360 Caloosa Palms Court
Sun City Center, FL 33573-6939
Phone
(802) 233-0077
Fax
(802) 229-5226
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X VT-0000089-82 VT
Clinical Social Worker 1041C0700X 089.0000082 VT
Clinical Social Worker 1041C0700X SW22626 FL Primary

Addresses

Primary practice location

360 Caloosa Palms Court
Sun City Center, FL 33573-6939

Mailing address

360 Caloosa Palms Court
Sun City Center, FL 33573-6939
Phone (802) 233-0077

Other identifiers 1

IdentifierTypeStateIssuer
1006709MedicaidVT

Other names 1

  • Josie Kokarev Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060313000624 VT Practitioner - Clinical Social Worker 3678580859 Practice locations: Sun City Center, FL
I20240611002434 FL Practitioner - Clinical Social Worker 3678580859 Practice locations: Sun City Center, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sun City Center, FL 33573
Phone (802) 233-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0000082VTMDClinical Social Worker
VT-0000089-82VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1508866062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CALOOSA PALMS COURT",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736939",
            "telephone_number": "802-233-0077",
            "fax_number": "802-229-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALOOSA PALMS COURT",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736939",
            "telephone_number": "802-233-0077",
            "fax_number": "802-229-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKAREV",
        "first_name": "JOSEPHINE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "VT-0000089-82",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0000082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006709",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "KOKAREV",
            "credential": "M.S.W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.