Provider / Organization | NPI | Date Certified |
---|---|---|
KELLER COSIMANO | 1104530716 | 2023-01-09 |
Keller Cosimano is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104530716. Registration indicates Keller Cosimano is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Keller Cosimano LCSW |
Practice Office Address | 10676 HINTON WAY MANASSAS, VA US |
Practice Office Telephone | 8658045440 |
Mailing Address | 10676 HINTON WAY MANASSAS, VA 201125882 US |
Business Telephone | 8658045440 |
Address | City / State | Phone / Fax |
---|---|---|
10676 Hinton Way | Manassas, VA 201125882 | 8658045440 |
9110 Railroad Dr Ste 310A | Manassas Park, VA 201117042 | 7033342206 |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 0904014656
VA |