Magalys Koch, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9799 Issued in FL

Practice address

718 SW Port St Lucie Blvd Ste E5
Port St Lucie, FL 34953

Phone

(772) 249-8255

Fax

(772) 249-8256

NPI assigned

May 6, 2010

Last updated

Jun 29, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hibiscus Counseling Center PLLC

  • Clinical Social Worker
  • Port Saint Lucie, FL
  • NPI 1851630180
  Medicare reassignment NPD Authorized official
• Treasure Coast Counseling Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port St Lucie, FL
  • NPI 1558686170
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1730407446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SW PORT ST LUCIE BLVD STE E5",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532670",
            "telephone_number": "772-249-8255",
            "fax_number": "772-249-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SW PORT ST LUCIE BLVD STE E5",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-249-8255",
            "fax_number": "772-249-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "MAGALYS",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DI480Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kline, MS, CF-SLP
• Dan Knapp, PTA
• Antoinette Elizabeth Knight
• Jordyn Knott
• Stacey Ann Knowlton, MS OTR/L
• Kelly Ann Kociuba
• Anna M Koehn, RBT
• Kenneth R Kohen, M.D.
• Stacey Kokell
• Matthew Paul Konig, PTA

• Clinical Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.