MEDICARE: ANNA KOZLOWSKA 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	1041C0700X	Clinical Social Worker	CW026439	PA

General Provider Information

NPI Number	:	1558114058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA KOZLOWSKA LCSW

Provider Business Mailing Address
First Line	:	105 FLORAL VALE BLVD
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-5522
Country	:	US
Telephone Number	:	856-412-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 FLORAL VALE BLVD
Second Line	:
City	:	YARDLEY
State	:	PA
Zip	:	19067-5522
Country	:	US
Telephone Number	:	856-412-8777
Fax Number	:

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

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	01/08/2026

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