Paul Kozodoy, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

000631 Issued in CT

Practice address

605 Washington Avenue
North Haven, CT 06473

Phone

(203) 530-2053

Fax

(203) 889-0198

NPI assigned

Dec 17, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1629131388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WASHINGTON AVENUE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-530-2053",
            "fax_number": "203-889-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WASHINGTON AVENUE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-530-2053",
            "fax_number": "203-889-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZODOY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000631",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "000631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MED. ASST. PROG. ID",
            "identifier": "004260949",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Kornitsky Pausig
• Fotios Koumpouras, M. D.
• Kelly Kouzelis, APRN
• Marissa Paige Kovacs, LPC, LADC
• Emily Swan Kovar, M.D.
• David Michael Kraus, O.D.
• Marat Kribis, M.D.
• Kristine Weidner LCSW LLC
• Nathan Alfons Kruger, M.D.
• Shruti Kumar

• Social Worker in North Haven, CT
• Providers in North Haven, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.