Cozby Correa, TS
Individual provider Active NPI Clinical Social Worker · Coamo, PR
NPI 1992007199 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1992007199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9292 (PR)
- Practice address
- HC 3 Box 18310
Coamo, PR 00769-9779 - Phone
- (787) 567-7865
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622002077 | PR | Practitioner - Clinical Social Worker | 7719345743 | Practice locations: Ponce, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Trade School Graduate
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9292 | PR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9292 | PR | Yes |
Addresses
Primary practice location
HC 3 Box 18310
Coamo, PR 00769-9779
Mailing address
Bo Palmarejo Carr 702 Parc 54
HC 03 Box 18310
Coamo, PR 00769
Phone (787) 567-7865
Other providers in Coamo, PR
- Johanna Colon
- Coop Farmacia Santa Teresita
- Coop. Fcia. Sta. Teresita
- Corp Fondo del Seguro del Estado
- Corporacion Coamena de la Salud
- Noelia Cortes
- Cruz Medical LLC
- Bryan Reinaldo Cruz Padilla
- Rafael Jose Cummings Lopez
- Luis A David
All providers in Coamo, PR · Clinical Social Worker in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.