Gabriela Gabor Kertznus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

231230 Issued in MA

Practice address

465 Waverley Oaks Rd Ste 101
Waltham, MA 02452-8497

Phone

(978) 489-9222

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735084800000",
    "number": "1053034405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WAVERLEY OAKS RD STE 101",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WAVERLEY OAKS RD STE 101",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528497",
            "telephone_number": "978-489-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOR KERTZNUS",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "231230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Louis Fuller, PT, DPT, LAT, ATC
• Ridgely Plater Fuller
• Brittany Fung-Santos, DPT
• Muhammad Furqan, RPH
• Robert D Fusunyan, MD
• Monica Gabour
• Kristen Susanne Gaherty, LICSW
• Wendy Gaines, MD
• Beth A Galan, NP-C
• Maria Elizabeth Galassi, MS, CCC-SLP

• Clinical Social Worker in Waltham, MA
• Providers in Waltham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.