Active NPI
Gary Kozick, M.S.W.
- Clinical Social Worker
- Schenectady, NY
National Provider Identifier
1912945296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R039653-1
- Practice address
- 1201 Nott St
Suite 306
Schenectady, NY 12308-2589 - Phone
- (518) 588-8346
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R039653-1 | NY | Primary |
Addresses
Primary practice location
1201 Nott St
Suite 306
Schenectady, NY 12308-2589
Mailing address
2512 Antonia Dr
Niskayuna, NY 12309-2403
Phone (518) 374-1392
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362383 | Other | NY | MVP PROVIDER NUMBER |
| N226S1 | Other | NY | EMPIRE BC/BS MAGELLAN |
| 000403575001 | Other | NY | BLUE SHIELD OF NORTHEAST |
| 10072214 | Other | NY | CDPHP PROVIDER NUMBER |
| 476643 | Other | NY | VALUEOPTIONS PROVIDER NUM |
| 7333576 | Other | NY | NEW YORK EMPIRE PLAN GHI |
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 |
|---|---|---|---|
| R039653-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface Psych Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Jenkintown, PA
- NPI 1659569135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912945296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 ANTONIA DR",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123092403",
"telephone_number": "518-374-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 306",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-588-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZICK",
"first_name": "GARY",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R039653-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NUMBER",
"identifier": "362383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS MAGELLAN",
"identifier": "N226S1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NORTHEAST",
"identifier": "000403575001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP PROVIDER NUMBER",
"identifier": "10072214",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PROVIDER NUM",
"identifier": "476643",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK EMPIRE PLAN GHI",
"identifier": "7333576",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.