RACHEL MAYA KOZBERG MSW LGSW NPI 1689333809

NPI Information

NPI: 1689333809
Provider Name: RACHEL MAYA KOZBERG, MSW, LGSW
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
5354 PARKDALE DR
ST LOUIS PARK, MN
ZIP 55416
Phone: (888) 364-5977
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Rachel Maya Kozberg, MSW, LGSW is a student in an organized health care education training program in St Louis Park, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Rachel Maya Kozberg, MSW, LGSW NPI is 1689333809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5354 PARKDALE DR
ST LOUIS PARK, MN
ZIP 55416-603
Phone: (888) 364-5977

The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		30447	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZTZ132986053001	OTHER	MINNESOTA	BLUECROSS BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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