NPI Registry.org

Keller Cosimano

NPI Registration Record

Provider / OrganizationNPIDate Certified
KELLER COSIMANO11045307162023-01-22

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 TypeIndividual
Provider Name Keller Cosimano LCSW
Practice Office Address9110 RAILROAD DR STE 310A
MANASSAS PARK, VA US
Practice Office Telephone7033342206
Mailing Address9110 RAILROAD DR STE 310A
MANASSAS PARK, VA 201117042 US
Business Telephone7033342206
Offices / Locations
AddressCity / StatePhone / Fax
10676 Hinton Way Manassas, VA 201125882 8658045440
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess 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
OPI Codes
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