Mrs. Rebecca S Kozak, PHD, LICSW, MPH
Social Worker, Clinical in Mattapan, Massachusetts
1366714412- Practice location
- 209 River St, Mattapan, MA 02126-2727
- Phone
- 617-534-9559
- Fax
- —
- Last updated
- December 9, 2019
Rebecca Shoaf Kozak is a Social Worker, Clinical based in Mattapan, MA. Rebecca Shoaf Kozak practices in Mattapan, MA and has the professional credentials of PHD, LICSW, MPH. The NPI Number for Rebecca Shoaf Kozak is 1366714412 and holds a License No. 118052 (MA). The current practice location address for Rebecca Shoaf Kozak is 209 River St, Mattapan, MA 02126-2727 and can be reached out via phone at 617-534-9559.
Provider Profile Details
- NPI Number
- 1366714412
- Provider Name
- Rebecca Shoaf Kozak
- Credential
- PHD, LICSW, MPH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 209 River St, Mattapan, MA 02126-2727
- Phone Number
- 617-534-9559
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 6, 2012
- Last Update Date
- December 9, 2019
- Certification Date
- December 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 River St
Mattapan, MA 02126-2727 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2727
- Phone Number
- 617-534-9559
Provider Business Mailing Address Details
- Address
- 1010 Massachusetts Ave Fl 2
Boston, MA 02118-3539 - City
- Boston
- State
- MA
- Zip
- 02118-3539
- Phone Number
- 617-534-3134
License Information
- License Number
- 118052
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mattapan, MA
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- Ellen P MartinSocial Worker, Clinical · NPI 1912364555
Frequently Asked Questions
What is the NPI number of Mrs. Rebecca S Kozak, PHD, LICSW, MPH?
The NPI number of Mrs. Rebecca S Kozak, PHD, LICSW, MPH is 1366714412. It was assigned on February 6, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Rebecca S Kozak, PHD, LICSW, MPH?
Mrs. Rebecca S Kozak, PHD, LICSW, MPH is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118052.
Where does Mrs. Rebecca S Kozak, PHD, LICSW, MPH practice?
The practice location is 209 River St, Mattapan, MA 02126-2727. The office can be reached at 617-534-9559 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366714412 directly on the NPPES registry website.