Paul Kozodoy is a Clinical in North Haven, Connecticut. Paul Kozodoy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Kozodoy is 1629131388. The last update date is 2018-05-01.
Paul Kozodoy's current location address is 605 Washington Avenue, North Haven, Connecticut. You can contact this provider via phone number 2035302053 and fax number 2038890198. The mailing address for Paul Kozodoy is 605 Washington Avenue, North Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Kozodoy |
|---|---|
| Address | 605 Washington Avenue, North Haven, Connecticut |
| Phone Number | 2035302053 |
| Fax Number | 2038890198 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1629131388 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2018-05-01 |
Provider Mailing Address Detail
| Address | 605 Washington Avenue |
|---|---|
| City | North Haven |
| State | Connecticut (CT) |
| Post Code | 6473 |
| Phone Number | 2035302053 |
| Fax Number | 2038890198 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 631 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4260949 | CT | CT MED. ASST. PROG. ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Kozodoy by the Centers for Medicare & Medicaid Services?
The Paul Kozodoy has been issued the NPI (National Provider Identifier) 1629131388 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Paul Kozodoy is geographically located?
The Paul Kozodoy is physically situated at the following location: 605 Washington Avenue, North Haven, CT, 6473.
What is Paul Kozodoy's area of expertise and its corresponding taxonomy classification?
The Paul Kozodoy's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1629131388 assigned to Paul Kozodoy?
The Paul Kozodoy was issued its 1629131388 on 2006-12-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Paul Kozodoy most recently updated or revised?
The information pertaining to Paul Kozodoy, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-01.
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