Active NPI
David Allen Kohl, M.S.W., L.C.S.W.
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1902941545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 11082
- Practice address
- 2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692 - Phone
- (602) 764-8542
- Fax
- (480) 804-0083
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 11082 | AZ | Primary |
Addresses
Primary practice location
2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Mailing address
1400 E Southern Ave
Ste 735
Tempe, AZ 85282-5691
Phone (480) 894-0326
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 11082 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1902941545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE",
"address_2": "STE 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825691",
"telephone_number": "480-894-0326",
"fax_number": "480-804-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S MCCLINTOCK DR",
"address_2": "SUITE 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822692",
"telephone_number": "602-764-8542",
"fax_number": "480-804-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW 11082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.