Individual provider Active NPI

Pamela Kosseff, MSW

  • Clinical Social Worker
  • Newport, RI
National Provider Identifier
1992823132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00601 Issued in RI
Practice address
37 Powel Ave
Newport, RI 02840-2676
Phone
(401) 847-1723
Fax
(401) 846-9868
NPI assigned
Mar 26, 2007
Sex
Female
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 ISW00601 RI Primary

Addresses

Primary practice location

37 Powel Ave
Newport, RI 02840-2676

Mailing address

37 Powel Ave
Newport, RI 02840-2676
Phone (401) 847-1723

Other identifiers 1

IdentifierTypeStateIssuer
0000009437-001OtherRIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00601RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992823132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402676",
            "telephone_number": "401-847-1723",
            "fax_number": "401-846-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 POWEL AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402676",
            "telephone_number": "401-847-1723",
            "fax_number": "401-846-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSEFF",
        "first_name": "PAMELA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0000009437-001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.