Active NPI
Dorothy Stern Kucha, LCSW
- Clinical Social Worker
- Depoe Bay, OR
National Provider Identifier
1154484905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L2238
- Practice address
- 3673 Otter Crest Loop
Depoe Bay, OR 97341-9779 - Phone
- (541) 765-9891
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L2238 | OR | Primary |
Addresses
Primary practice location
3673 Otter Crest Loop
Depoe Bay, OR 97341-9779
Mailing address
3673 Otter Crest Loop
Depoe Bay, OR 97341-9779
Phone (541) 765-9891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2238 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154484905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3673 OTTER CREST LOOP",
"city": "DEPOE BAY",
"state": "OR",
"postal_code": "973419779",
"telephone_number": "541-765-9891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3673 OTTER CREST LOOP",
"city": "DEPOE BAY",
"state": "OR",
"postal_code": "973419779",
"telephone_number": "541-765-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN KUCHA",
"first_name": "DOROTHY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L2238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depoe Bay, OR
- Charles Scott Salmons, D.C.
- Samaritan Pacific Health Services Inc (Samaritan Depoe Bay Clinic)
- Samaritan Pacific Health Services, Inc (Samaritan Kidney Specialists - Newport)
- Samaritan Pacific Health Services, Inc. (Samaritan Infectious Disease-Depoe Bay)
- Lauren V Stenzel, LCSW, MSW
- Jeffrey Michael Storrs, D.O.
- Leah Bahn Swift, DO
- Gary W. Vanwinkle, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.