Individual provider Active NPI

William T. Kohut Sr., MSW/CCSW #312

  • Clinical Social Worker
  • Dover, NH
National Provider Identifier
1972668259
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
312 Issued in NH
Practice address
166A Henry Law Avenue
Dover, NH 03820
Phone
(603) 749-1050
Fax
(603) 749-1050
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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 312 NH Primary

Addresses

Primary practice location

166A Henry Law Avenue
Dover, NH 03820

Mailing address

166A Henry Law Ave
Dover, NH 03820
Phone (603) 749-1050

Other identifiers 1

IdentifierTypeStateIssuer
80001298MedicaidNH

Other names 1

  • Mr. William Taylor Kohut Sr. Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
312NHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1972668259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166A HENRY LAW AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-1050",
            "fax_number": "603-749-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166A HENRY LAW AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-1050",
            "fax_number": "603-749-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHUT",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSW/CCSW #312",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001298",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "KOHUT",
            "middle_name": "TAYLOR",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.