MEDICARE: JOSEPHINE KOKAREV MSW

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	1041C0700X	Clinical Social Worker	VT-0000089-82	VT
2	1041C0700X	Clinical Social Worker	089.0000082	VT
3	1041C0700X	Clinical Social Worker	SW22626	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508866062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE KOKAREV MSW

Provider Business Mailing Address
First Line	:	360 CALOOSA PALMS COURT
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6939
Country	:	US
Telephone Number	:	802-233-0077
Fax Number	:	802-229-5226

Provider Business Practice Location Address
First Line	:	360 CALOOSA PALMS COURT
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6939
Country	:	US
Telephone Number	:	802-233-0077
Fax Number	:	802-229-5226

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	02/14/2025

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