Individual provider Active NPI

Athanassios Kosmopoulos, MSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1851557060
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078495 Issued in DC
Practice address
Walter Reed Army Medical Ctr
6900 Georgia Ave
Washington, DC 20307-0001
Phone
(202) 782-6378
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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 LC50078495 DC Primary

Addresses

Primary practice location

Walter Reed Army Medical Ctr
6900 Georgia Ave
Washington, DC 20307-0001

Mailing address

2911 Blueridge Ave
Wheaton, MD 20902-2685
Phone (301) 949-5740

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
LC50078495DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1851557060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 BLUERIDGE AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022685",
            "telephone_number": "301-949-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CTR",
            "address_2": "6900 GEORGIA AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMOPOULOS",
        "first_name": "ATHANASSIOS",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.