Individual provider Active NPI

Gary Kozick, M.S.W.

  • Clinical Social Worker
  • Schenectady, NY
National Provider Identifier
1912945296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039653-1 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
362383OtherNYMVP PROVIDER NUMBER
N226S1OtherNYEMPIRE BC/BS MAGELLAN
000403575001OtherNYBLUE SHIELD OF NORTHEAST
10072214OtherNYCDPHP PROVIDER NUMBER
476643OtherNYVALUEOPTIONS PROVIDER NUM
7333576OtherNYNEW 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

LicenseStateTypeSpecialty
R039653-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Psych Services, Inc PastSince Jul 1, 2016 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.

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.

Verify at the official NPI Registry.