Provider Demographics
NPI:1962218768
Name:KOSIOROWSKI, KARA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:L
Last Name:KOSIOROWSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 HENRY AVE APT U5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2263
Mailing Address - Country:US
Mailing Address - Phone:856-412-3276
Mailing Address - Fax:484-476-8109
Practice Address - Street 1:8201 HENRY AVE APT U5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2263
Practice Address - Country:US
Practice Address - Phone:856-412-3276
Practice Address - Fax:484-476-8109
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW023857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health