Doctor Name: | MRS. SHEILA LYNN KOSEK |
NPI Number: | 1164481974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 15963 |
Business Practice Address: | 7300 Brooklyn Blvd Brooklyn Park, MN - 554433301 |
Business Phone Number: | 7635697609 |
Business Fax Number: | 7635697606 |
Mailing Address: | 15705 26th Ave N, D. PLYMOUTH |
State: | MN |
Postal Code: | 554471966 |
Phone Number: | 7635591866 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 07/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 15963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |