Audrey Kokidko, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

351 Wagoner Dr Ste 318
Fayetteville, NC 28303-4739

Phone

(910) 771-4499

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1649948803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 318",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034739",
            "telephone_number": "910-633-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 318",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034739",
            "telephone_number": "910-771-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKIDKO",
        "first_name": "AUDREY",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elizabeth Kofoed, MD
• Kog Integrated Healthcare
• Sophia Reagan Kohler, PA
• William Joseph Kohler, DO
• Bintee Koirala
• Emmanuel Ebuka Kokori, M.D.
• Olajide L Kolawole, P.T.
• Olasunkanmi Abimbola Kolawole, MD,MPH
• Sandra Kolb, NP
• Patrick Kolstee

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.