Kim Ann Kozina-Evanoski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044384 Issued in NY

Practice address

77 E 1St St
Corning, NY 14830-2715

Phone

(607) 936-1771

Fax

(607) 936-2648

NPI assigned

Dec 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erwin Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
  • NPI 1639939069
  NPD
• Pathways, Inc.

  • Social Worker
  • Corning, NY
  • NPI 1396896486
  NPD

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1912667528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302715",
            "telephone_number": "607-936-1771",
            "fax_number": "607-936-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZINA-EVANOSKI",
        "first_name": "KIM",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Knoll, RN
• Deborah Faith Knowles, LPN
• Nicole Kohberger, LPN
• Loriann Marie Kolpien, OD
• Constance Lee Kosow
• Tyann Kreger
• Christine Elizabeth Krohmalney, FNP-C
• Olena Maria Krupko, PA-C
• David Edward Kunkler
• Thomas J Landry, OD

• Clinical Social Worker in Corning, NY
• Providers in Corning, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.