Kristina Duchmann, MSW-LICENSED

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105464 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 801-8135

Fax

(315) 801-8352

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristina Zhushma Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1043879778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-801-8135",
            "fax_number": "315-801-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135015999",
            "country_code": "US",
            "telephone_number": "315-801-8135",
            "fax_number": "315-801-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHMANN",
        "first_name": "KRISTINA",
        "credential": "MSW-LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "ZHUSHMA",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• DRS Mark Slavin and Brian Jackson Mark Slavin Gen PTR
• Matthew Michael Dubai, NP
• Nobuhle Dube, PMHNP-BC
• Frank J Dubeck Jr., MD
• Paige Marie Duchene, MS CCC-SLP
• Sarah Dudajek-Bush, M.S., CCC-SLP
• Purvi Dudhedia
• Oleg Dulkin, MD
• Gordon B. Dunham, LCSW
• Sarah Dunham, FNP

• Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.