Camille M Cocozza

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CW013281 Issued in PA

Practice address

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343

Phone

(215) 831-3850

Fax

(215) 831-3065

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851464416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-831-3850",
            "fax_number": "215-831-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-831-3850",
            "fax_number": "215-831-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCOZZA",
        "first_name": "CAMILLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013281",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "CW013281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019622590002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Cocco, COTA/L
• Benjamin G Cochran
• Katherine Cockrell
• Lisa A Coco, N.P.
• Cocolife
• Ryan Cocron
• Ashley Nicole Cocuzza
• Ronald Anthony Codario Sr., M.D.
• Mark Stephen Codella, M.D.
• Codered Healthcare Services LLC

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.