Active NPI
Kathleen Ann Kosche, LCSW
- Clinical Social Worker
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20820
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20820 | CA | MD | Clinical Social Worker |
| LCS20820 | CA | MD | Clinical Social Worker |
| LCSW #0796 | OR | MD | Clinical Social Worker |
| 20820 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc | Current | Accepting new patients | |
| The Roads Foundation, Inc. | Current | Accepting new patients | |
| Aleksandra Wirga, M.D., Inc. | Current | 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
- 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.
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1861716953
-
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.