Albert Abban Koomson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1640245 Issued in MA

Practice address

53 Eagle St
Pittsfield, MA 01201-5376

Phone

(413) 236-5656

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Massachusetts Society for the Prevention of Cruelty to Children

  • Community/Behavioral Health Agency
  • Pittsfield, MA
  • NPI 1093995045
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1740564251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRIGHTON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012012832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 EAGLE ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015376",
            "telephone_number": "413-236-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOMSON",
        "first_name": "ALBERT",
        "middle_name": "ABBAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "S1640245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosper Kodjo
• Cathy Sue Kogan, PHD
• Nicole Marie Koldys, RN
• Karolina Kolodziej, BS
• Rachel Laurin Konowitch
• Kelly Koperek
• Nicole S Kordana, BA
• Eric S. Korenman, M.D.
• Christina M Korney, NP
• Joseph J. Kotelnicki, PA-C

• Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.