Individual provider Active NPI

Sandra H. Kosmin, M.S.S., L.C.S.W.

  • Social Worker
  • Narberth, PA
National Provider Identifier
1689941916
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CW-015418 Issued in PA
Practice address
114 Forrest Avenue
Suite 2
Narberth, PA 19046
Phone
(610) 832-0627
NPI assigned
Dec 1, 2011
Reactivated
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW-015418 PA Primary

Addresses

Primary practice location

114 Forrest Avenue
Suite 2
Narberth, PA 19046

Mailing address

P.O. Box 382
Jenkintown, PA 19046
Phone (610) 832-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW-015418PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1689941916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 382",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "610-832-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FORREST AVENUE",
            "address_2": "SUITE 2",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "610-832-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMIN",
        "first_name": "SANDRA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "M.S.S., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-06-05",
        "deactivation_date": "2012-08-24",
        "reactivation_date": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW-015418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.