Individual provider Active NPI

Dayse Koski, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1801317037
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22922 Issued in MN
Practice address
8014 Highway 55 # 515
Golden Valley, MN 55427-4712
Phone
(651) 335-9377
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22922 MN Primary

Addresses

Primary practice location

8014 Highway 55 # 515
Golden Valley, MN 55427-4712

Mailing address

8014 Highway 55 # 515
Golden Valley, MN 55427-4712
Phone (651) 335-9377

Other practice location 1

529 Burntside Dr
Golden Valley, MN 55422-5232
Phone (651) 335-9377

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1801317037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 HIGHWAY 55 # 515",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274712",
            "telephone_number": "651-335-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 HIGHWAY 55 # 515",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274712",
            "telephone_number": "651-335-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Burntside Dr",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554225232",
            "country_code": "US",
            "telephone_number": "651-335-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "DAYSE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.