Raymond Kosse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-26084 Issued in ID

Practice address

212 N 1St Ave Ste G101
Sandpoint, ID 83864-1400

Phone

(208) 263-7180

Fax

(208) 255-2017

NPI assigned

Feb 7, 2007

Sex

Male

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)

Enrolled

Practice roles

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.

• Sand Creek Mental Health and Wellness

  • Social Worker
  • Sandpoint, ID
  • NPI 1275675886

  Clinical

  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619017944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HICKORY ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642123",
            "telephone_number": "208-263-2533",
            "fax_number": "208-255-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE STE G101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641400",
            "telephone_number": "208-263-7180",
            "fax_number": "208-255-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSE",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-26084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Verby Klaucke, MD
• Jonathan Klaucke, M.D.
• Klemz Counseling and Consulting
• Tracey Koch, FNP
• Florence Katherine Koon, L.M.T.
• Natalie Irene Koster
• Rudolf Kreps, LPT
• Aleksandra E Krotova, LCSW
• Tamra Mae Krutz, L.C.P.C.
• Dean Bernard Kubacz, MD

• Clinical Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.