Individual provider Active NPI

Nicole Cosaluzzo, LMSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1861078040
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098768 Issued in NY
Practice address
83 Reno Ave
Staten Island, NY 10306-2819
Phone
(845) 649-0174
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098768 NY Primary

Addresses

Primary practice location

83 Reno Ave
Staten Island, NY 10306-2819

Mailing address

83 Reno Ave
Staten Island, NY 10306-2819
Phone (845) 649-0174

Other practice location 1

6812 Yellowstone Blvd Unit AA
Forest Hills, NY 11375-3268
Phone (718) 640-4469

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
098768NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1861078040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 RENO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062819",
            "telephone_number": "845-649-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 RENO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062819",
            "telephone_number": "845-649-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6812 Yellowstone Blvd Unit AA",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753268",
            "country_code": "US",
            "telephone_number": "718-640-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSALUZZO",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.