Alex Kozyrski, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

122944001 Issued in NY

Practice address

11 Route 111
Smithtown, NY 11787-3754

Phone

(631) 656-9550

Fax

(631) 656-9551

NPI assigned

Jan 7, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

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

Medicare enrollment (NPD)

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.

• State of Connecticut

  dba Connecticut Mental Health Center

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  Medicare reassignment NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1942773593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873754",
            "telephone_number": "631-656-9550",
            "fax_number": "631-656-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873754",
            "telephone_number": "631-656-9550",
            "fax_number": "631-656-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZYRSKI",
        "first_name": "ALEX",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "122944001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Koss, MD
• Mila Kote, DO
• Dipti Bhavesh Kothari, M.D
• Elsy Kottoppallil, RN
• Robin Adele Kozlowski, LMT, PTA
• Jessica B Kramer, MD
• Carrie Suzanne Krasner, M.S. CCC-SLP
• Jessica Krausz
• Danielle Rose Krayewski, OTR/L
• Nancy Krieg

• Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.