Active NPI
Pamela A. Kozlow, LCSW
- Clinical Social Worker
- Elk Grove, CA
National Provider Identifier
1992900153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS22008
- Practice address
- 8920 Emerald Park Dr Ste a
Elk Grove, CA 95624-2380 - Phone
- (916) 208-4784
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS22008 | CA | Primary |
Addresses
Primary practice location
8920 Emerald Park Dr Ste a
Elk Grove, CA 95624-2380
Mailing address
8920 Emerald Park Dr Ste a
Elk Grove, CA 95624-2380
Phone (916) 208-4784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404001923 | CA | Practitioner - Clinical Social Worker | 1355865999 | Practice locations: Elk Grove, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS22008 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1992900153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 EMERALD PARK DR STE A",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242380",
"telephone_number": "916-208-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 EMERALD PARK DR STE A",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242380",
"telephone_number": "916-208-4784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOW",
"first_name": "PAMELA",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS22008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.