Kathryn Eline Durkin Kozak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69370 Issued in TX

Practice address

1618 Ridgewood St
Houston, TX 77006-1034

Phone

(832) 270-4365

NPI assigned

May 15, 2019

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1689230690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 RIDGEWOOD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061034",
            "telephone_number": "832-270-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 RIDGEWOOD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061034",
            "telephone_number": "832-270-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770077440",
            "country_code": "US",
            "telephone_number": "832-428-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "KATHRYN",
        "middle_name": "ELINE DURKIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcine Kowpak
• Gizem Nur Koyan Karadeniz, SA-C
• Tamisa Koythong, M.D.
• Dhanalakshmi Koyyalagunta, M.D.
• Jeffrey A Kozak
• Rosemary A Kozar, M.D.
• Jason Andrew Kozel, PT
• Karim Kozhaya, MD
• Mena Kozman, MD
• Ivona Kozul, FNP-C

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.