Individual provider Active NPI

Kerri Lynn Kosloff, LCSW

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1932401643
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086220 Issued in NY
Practice address
17 E Carver St
Huntington, NY 11743-3409
Phone
(631) 673-5433
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086220 NY Primary
Social Worker 104100000X 081272 NY

Addresses

Primary practice location

17 E Carver St
Huntington, NY 11743-3409

Mailing address

119 N Park Ave
Ste 306
Rockville Centre, NY 11570-4113
Phone (516) 208-3792

Other practice location 1

28 Cedar Rd
Sound Beach, NY 11789-3118
Phone (516) 318-5658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926003313 NY Practitioner - Clinical Social Worker 5496085847 Reassigns benefits to 1 organization
Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 E Carver St
Huntington, NY 11743-3409
Phone (631) 609-0754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081272NYMDSocial Worker
086220NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kerri Kosloff LCSW PLLC CurrentSince Mar 10, 2024 Accepting new patients

Locations

17 E Carver St
Huntington, NY 11743
Phone (516) 784-9090

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1932401643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N PARK AVE",
            "address_2": "STE 306",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704113",
            "telephone_number": "516-208-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E CARVER ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433409",
            "telephone_number": "631-673-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "Sound Beach",
            "state": "NY",
            "postal_code": "117893118",
            "country_code": "US",
            "telephone_number": "516-318-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSLOFF",
        "first_name": "KERRI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086220",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.