Provider Demographics
NPI:1003045121
Name:COZZA, DONALD P (MSSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:P
Last Name:COZZA
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S76W12975 CAMBRIDGE CT W
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-4005
Mailing Address - Country:US
Mailing Address - Phone:414-238-8191
Mailing Address - Fax:
Practice Address - Street 1:S76W12975 CAMBRIDGE CT W
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-4005
Practice Address - Country:US
Practice Address - Phone:414-238-8191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical