Active NPI
Kosal Suon
- Social Worker
- Lowell, MA
National Provider Identifier
1871895599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 126 Phoenix Ave
2Rd Floor
Lowell, MA 01852-4931 - Phone
- (978) 937-3087
- NPI assigned
- Dec 1, 2010
- Last updated
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
126 Phoenix Ave
2Rd Floor
Lowell, MA 01852-4931
Mailing address
PO Box 8025
Lowell, MA 01853-8025
Phone (978) 935-6884
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1871895599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8025",
"city": "LOWELL",
"state": "MA",
"postal_code": "018538025",
"telephone_number": "978-935-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PHOENIX AVE",
"address_2": "2RD FLOOR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524931",
"telephone_number": "978-937-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUON",
"first_name": "KOSAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.