Chaz Kohlrieser, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC500080588 Issued in DC

Practice address

1831 Upshur St NE
Washington, DC 20018-3239

Phone

(262) 488-0027

NPI assigned

Oct 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Chaz Holmon Former name

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1568890721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081162",
            "telephone_number": "202-624-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 UPSHUR ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183239",
            "telephone_number": "262-488-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLRIESER",
        "first_name": "CHAZ",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC500080588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAZ",
            "last_name": "HOLMON",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalie Morrison Kogan, LCSW-C, ACSW
• Jennifer Anne Koget, MS.LCSW.BCD.
• Sara Koguem
• Sheila Kohler, NP
• Sahaj Kaur Kohli, LGPC
• Miriam Kohn, PHD
• Brandon Kohrt, M.D., PH.D.
• Brieanne Kidd Kohrt, PHD
• Edward Koifman
• Binturabi Koita

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.