Active NPI
Kathleen Bosco, LMSW
- Social Worker
- Mexico, NY
National Provider Identifier
1861025207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 093265
- Practice address
- 26 Academy St
Mexico, NY 13114-3010 - Phone
- (315) 963-8400
- Fax
- (315) 630-3169
- NPI assigned
- Feb 13, 2020
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 093265 | NY | Primary |
Addresses
Primary practice location
26 Academy St
Mexico, NY 13114-3010
Mailing address
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564
Other practice location 1
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564
Other practice location 2
16 Fravor Rd
Mexico, NY 13114-3011
Phone (315) 963-8400 ext. 4208
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
| License | State | Type | Specialty |
|---|---|---|---|
| 093265 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1861025207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 DELANO ST",
"city": "PULASKI",
"state": "NY",
"postal_code": "131421400",
"telephone_number": "315-298-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 ACADEMY ST",
"city": "MEXICO",
"state": "NY",
"postal_code": "131143010",
"telephone_number": "315-963-8400",
"fax_number": "315-630-3169"
}
],
"practiceLocations": [
{
"address_1": "61 Delano St",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "NY",
"postal_code": "131421400",
"country_code": "US",
"telephone_number": "315-298-6564",
"fax_number": "315-298-7831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Fravor Rd",
"address_purpose": "LOCATION",
"city": "Mexico",
"state": "NY",
"postal_code": "131143011",
"country_code": "US",
"telephone_number": "315-963-8400 x4208",
"fax_number": "315-630-3169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSCO",
"first_name": "KATHLEEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.