Individual provider Active NPI

Richard Allen Kochis, LMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1609040948
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088133 Issued in MI
Practice address
1029 N 3Rd St
Suite B
Marquette, MI 49855-3509
Phone
(906) 226-7410
Fax
(906) 226-9800
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088133 MI Primary

Addresses

Primary practice location

1029 N 3Rd St
Suite B
Marquette, MI 49855-3509

Mailing address

1029 N 3Rd St
Suite B
Marquette, MI 49855-3509
Phone (906) 226-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc Current Accepting new patients

Locations

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

Organizations & group practices 1

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1609040948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 N 3RD ST",
            "address_2": "SUITE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553509",
            "telephone_number": "906-226-7410",
            "fax_number": "906-226-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 N 3RD ST",
            "address_2": "SUITE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553509",
            "telephone_number": "906-226-7410",
            "fax_number": "906-226-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHIS",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.