Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jennie Farber Kosko, MSWSOCIALWORKINTE

Individual provider Social Worker · NPI 1962953133

MS. Jennie Farber Kosko, MSWSOCIALWORKINTE is a Clinical Social Worker in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Pacific Heritage Medical Group Inc, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

6500 Wilshire Blvd Fl 19
Los Angeles, CA 90048-4920
Phone: (800) 270-9256
Fax: (805) 855-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 Tully Road, San Jose, CA 95122 — (408) 271-3900

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RA858809 (CA)
Social Worker Taxonomy 104100000X

Record details

NPI number1962953133
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWSOCIALWORKINTE
Sole proprietorYes
NPI enumeratedOctober 21, 2016
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pacific Heritage Medical Group Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Los Angeles