Individual provider Active NPI

Kara M Juszczak, LMSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1063772549
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071596 Issued in NY
Practice address
175 Humboldt St
Rochester, NY 14610-1059
Phone
(585) 546-1960
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071596 NY Primary

Addresses

Primary practice location

175 Humboldt St
Rochester, NY 14610-1059

Mailing address

66 Christina Dr
North Chili, NY 14514-9756
Phone (585) 472-1819

Other names 1

  • Kara M Ditucci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630001200 NY Practitioner - Clinical Social Worker 6901021211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 E Ave
Suite 4
Rochester, NY 14610-2566
Phone (585) 880-8838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071596NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Juszczak, LCSW, PLLC Clinical CurrentSince Mar 1, 2015 Accepting new patients
Monroe Youth and Family Center Past Accepting new patients

Locations

95 Allens Creek Rd
Ste 110
Rochester, NY 14618
Phone (585) 248-6203

2300 East Ave
Ste 4
Rochester, NY 14610
Phone (585) 880-8838

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1063772549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHRISTINA DR",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145149756",
            "telephone_number": "585-472-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HUMBOLDT ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101059",
            "telephone_number": "585-546-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSZCZAK",
        "first_name": "KARA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "DITUCCI",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.