Individual provider Active NPI

Mizuki Kojima, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1558946624
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082762 Issued in DC
Practice address
2500 Wisconsin Avenue NW
# 850
Washington, DC 20007
Phone
(202) 415-8197
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50082762 DC Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW61634159 WA

Addresses

Primary practice location

2500 Wisconsin Avenue NW
# 850
Washington, DC 20007

Mailing address

2500 Wisconsin Ave NW Apt 850
Washington, DC 20007-4534
Phone (202) 415-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WA, OR, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240918004765 DC Practitioner - Clinical Social Worker 7618418518 Reassigns benefits to 1 organization
I20250806003665 WA Practitioner - Clinical Social Worker 7618418518 Reassigns benefits to 2 organizations
I20250807000625 OR Practitioner - Clinical Social Worker 7618418518 Reassigns benefits to 1 organization
I20250828002491 VA Practitioner - Clinical Social Worker 7618418518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2578 Broadway
Suite 607
New York, NY 10025-7869

9901 Brodie LN
Suite 160
Austin, TX 78748-5803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082762DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA Multi-Specialty CurrentSince Jul 31, 2024 Accepting new patients
Talkspace Wa Psychiatry PC Multi-Specialty CurrentSince May 24, 2025 Accepting new patients
Mental Health Specialty Group PA Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1558946624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WISCONSIN AVE NW APT 850",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074534",
            "telephone_number": "202-415-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WISCONSIN AVENUE NW",
            "address_2": "# 850",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-415-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJIMA",
        "first_name": "MIZUKI",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082762",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61634159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.