MS. SUSAN MARY COSGROVE NPI 1578833554

Case Manager/Care Coordinator in Stockton, CA

About SUSAN COSGROVE

Susan Cosgrove is a provider in Stockton, CA. The NPI number assigned to this provider is 1578833554. The practitioner's primary taxonomy code is Case Manager/Care Coordinator (171M00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago.

NPI

1578833554

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. SUSAN MARY COSGROVE
Provider Location Address555 W BENJAMIN HOLT DR SUITE 400 STOCKTON, CA 95207 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address555 W BENJAMIN HOLT DR SUITE 400 STOCKTON, CA 95207 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date01-06-2012 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-09-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code171M00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCase Manager/Care Coordinator
TypeOther Service Providers
Taxonomy DescriptionA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Business Address

MS. SUSAN MARY COSGROVE
555 W BENJAMIN HOLT DR
SUITE 400
STOCKTON, CA
ZIP 95207
Phone: (209) 478-9862
Fax: (209) 478-1938

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Mailing Address

MS. SUSAN MARY COSGROVE
555 W BENJAMIN HOLT DR
SUITE 400
STOCKTON, CA
ZIP 95207
Phone: (209) 478-9862
Fax: (209) 478-1938

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101Y00000XBehavioral Health & Social Service ProvidersCounselorCANo

Taxonomy Description: a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.

2101Y00000XBehavioral Health & Social Service ProvidersCounselorNo

Taxonomy Description: a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023373784MS. JUSTIAN ELIZABETH ORYAN MSW, ASW
Individual
Social Worker555 W BENJAMIN HOLT DR SUITE 400
STOCKTON, CA 95207
(209) 478-9862
1205871415 SHILPA AVULA DDS
Individual
Dentist (Pediatric Dentistry)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1225072762WILLIAM COX DENTAL CORPORATION
Organization
Dentist555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1265707715 ADRIENNE D WITHERSPOON
Individual
Case Manager/Care Coordinator555 W BENJAMIN HOLT DR SUITE 412
STOCKTON, CA 95207
(209) 478-9862
1275697641 ANNIE SHIH DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1316983356 ROBERT PAUL NAKAKI DDS
Individual
Dentist (General Practice)555 W BENJAMIN HOLT DR BUILDING B
STOCKTON, CA 95207
(209) 476-4700
1427429216 KAYLA NAJAR
Individual
Counselor555 W BENJAMIN HOLT DR
STOCKTON, CA 95207
(209) 478-9862
1457366023 HENRY WADDELL DDS
Individual
Dentist (General Practice)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1477823458 ILENE VASQUEZ I
Individual
Counselor555 W BENJAMIN HOLT DR SUITE 400
STOCKTON, CA 95207
(209) 478-1938
1538439567MR. ERICKE TROY BRIGHAM
Individual
Counselor555 W BENJAMIN HOLT DR
STOCKTON, CA 95207
(209) 478-9862
1619228863 CYNTHIA KRYSTAL CASTRO
Individual
Case Manager/Care Coordinator555 W BENJAMIN HOLT DR SUITE 400
STOCKTON, CA 95207
(209) 478-9862
1669401980 DUFF REED DDS
Individual
Dentist (General Practice)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1710100870MRS. JEANETTE ELIZABETH CALLOW MFT
Individual
Marriage & Family Therapist555 W BENJAMIN HOLT DR SUITE 420
STOCKTON, CA 95207
(209) 477-9177
1851320170 DELMAR MOBLEY DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1912915372 JEFF ALCAIDE DDS
Individual
Dentist (Pediatric Dentistry)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1922069319TOTAL RENAL CARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)555 W BENJAMIN HOLT DR STE 200
STOCKTON, CA 95207
(209) 473-2294
1952526832 CRISTIAN FERNANDEZ DDS
Individual
Dentist (General Practice)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1962438408 VARINDERJIT THIND DDS
Individual
Dentist (General Practice)555 W BENJAMIN HOLT DR SUITE 100
STOCKTON, CA 95207
(209) 473-7888
1962822643MR. LEONARDO MORALES JR.
Individual
Case Manager/Care Coordinator555 W BENJAMIN HOLT DR
STOCKTON, CA 95207
(209) 478-9862
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