National Provider Identifier

Kim Ann Kozina-Evanoski, LMSW

Kim Ann Kozina-Evanoski, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Corning, NY and a listed phone number of (607) 936-1771.

NPI 1912667528Corning, NYClinical Social Worker

Profile Overview

NPI
1912667528
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 22, 2021
Last Updated
December 22, 2021

Practice Location

  • 77 E 1St St
  • Corning, NY 14830-2715

Phone: (607) 936-1771

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1912667528
Entity Type
Individual
Last Name
Kozina-Evanoski
First Name
Kim
Middle Name
Ann
Credential
LMSW
Mailing Street Address
77 E 1St St
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-2715
Mailing Country
US
Mailing Phone
(607) 936-1771
Mailing Fax
(607) 936-2648
Practice Street Address
77 E 1St St
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2715
Practice Country
US
Practice Phone
(607) 936-1771
Practice Fax
(607) 936-2648
Enumeration Date
December 22, 2021
Last Updated
December 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
December 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)