Individual provider Active NPI

Katherine King Cosimano, LCSW

  • Clinical Social Worker
  • Palm City, FL
National Provider Identifier
1831488246
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9931 Issued in FL
Practice address
4285 SW Martin Hwy
Palm City, FL 34990-8615
Phone
(772) 828-0778
Fax
(772) 345-3152
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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 SW 9931 FL Primary

Addresses

Primary practice location

4285 SW Martin Hwy
Palm City, FL 34990-8615

Mailing address

4285 SW Martin Hwy
Palm City, FL 34990-8615
Phone (772) 828-0778

Other identifiers 1

IdentifierTypeStateIssuer
SW 9931OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW 9931FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1831488246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908615",
            "telephone_number": "772-828-0778",
            "fax_number": "772-345-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908615",
            "telephone_number": "772-828-0778",
            "fax_number": "772-345-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIMANO",
        "first_name": "KATHERINE",
        "middle_name": "KING",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW 9931",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.