Mallory Trumble Kosaski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801099679 Issued in MI

Practice address

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404

Phone

(517) 798-4894

NPI assigned

Aug 8, 2016

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

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 MI

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inclusive Wellness LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1891389029
  Medicare reassignment NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1982158911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "517-798-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "517-798-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSASKI",
        "first_name": "MALLORY",
        "middle_name": "TRUMBLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Koning, PHARMD
• Darielle Kontcho
• Julie M Kontkiewicz
• Rachel Korest
• Amy Korzecke, D.O.
• Jeffrey Richard Kovan, D.O.
• Patricia M Kowalski, OD
• Elizabeth Kozlowski, DO
• Kozmic Counseling PC
• Brooke Kraeszig

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.