Amy Marie Kohl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22212 Issued in CA

Practice address

333 1St St Apt K315
Seal Beach, CA 90740-6638

Phone

(657) 464-4369

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1518608652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 1ST ST APT K315",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406638",
            "telephone_number": "562-522-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST APT K315",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406638",
            "telephone_number": "657-464-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kincaid
• Jacquelan Addesan King, LPC
• Kirat K. Grewal MD, Inc.
• Leslie Klein, PH.D.
• Sheila Ann Klick, BCBA
• Aileen Diane Komai, OT
• Winifred Kordich, M.A. MFT
• Kyle Kurata, DPT, PT
• Alyne Kuyumjian, BCBA
• Brooke Ellen Kuzmic, LVN

• Clinical Social Worker in Seal Beach, CA
• Providers in Seal Beach, 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 Apr 5, 2022; 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.