MEDICARE: CHRISTINA KOSLIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	084940	NY
2	1041C0700X	Clinical Social Worker	095119	NY

General Provider Information

NPI Number	:	1063888584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA KOSLIN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 3199
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8004
Country	:	US
Telephone Number	:	518-390-5224
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 LAKE AVE
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2565
Country	:	US
Telephone Number	:	518-390-5224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	01/23/2026

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