Individual provider Active NPI

Day Kokarev, MSW

  • Clinical Social Worker
  • Berlin, VT
National Provider Identifier
1952326456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89-81 Issued in VT
Practice address
1954 Crosstown Rd
Berlin, VT 05602-9029
Phone
(802) 229-4150
Fax
(802) 229-5226
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 89-81 VT Primary

Addresses

Primary practice location

1954 Crosstown Rd
Berlin, VT 05602-9029

Mailing address

1954 Crosstown Rd
Berlin, VT 05602-9029
Phone (802) 229-4150

Other identifiers 1

IdentifierTypeStateIssuer
1006708MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060313000619 VT Practitioner - Clinical Social Worker 2961419148 Practice locations: Sun City Center, FL
I20240306004388 FL Practitioner - Clinical Social Worker 2961419148 Practice locations: Sun City Center, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

360 Caloosa Palms CT
Sun City Center, FL 33573-6939
Phone (802) 999-9867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89-81VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952326456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 CROSSTOWN RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029029",
            "telephone_number": "802-229-4150",
            "fax_number": "802-229-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 CROSSTOWN RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029029",
            "telephone_number": "802-229-4150",
            "fax_number": "802-229-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKAREV",
        "first_name": "DAY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "89-81",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006708",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.