Individual provider Active NPI

Kathleen Ann Kosche, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1780769828
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20820 Issued in CA
Practice address
3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone
(562) 427-3897
Fax
(562) 309-9998
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 20820 CA
Clinical Social Worker 1041C0700X LCSW #0796 OR
Clinical Social Worker 1041C0700X LCS20820 CA Primary

Addresses

Primary practice location

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332

Mailing address

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20080111000691 CA Practitioner - Clinical Social Worker 3375624679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians

Practice addresses (Care Compare)

3703 Long Beach Blvd
Suite 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 20820CAMDClinical Social Worker
LCS20820CAMDClinical Social Worker
LCSW #0796ORMDClinical Social Worker
20820CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Roads Foundation, Inc CurrentSince Oct 1, 2022 Accepting new patients
The Roads Foundation, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Aleksandra Wirga, M.D., Inc. CurrentSince Feb 24, 2021 Accepting new patients

Locations

121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

4201 Long Beach Blvd
Ste 203
Long Beach, CA 90807
Phone (562) 427-3897

4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1780769828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897",
            "fax_number": "623-099-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897",
            "fax_number": "562-309-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 20820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW #0796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.