Adam Kusler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

30410 Highway 200
Ponderay, ID 83852-9601

Phone

(208) 263-7101

NPI assigned

May 18, 2010

Last updated

Aug 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1285953000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2160",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640908",
            "telephone_number": "208-263-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30410 HIGHWAY 200",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529601",
            "telephone_number": "208-263-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSLER",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1128008",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID LICENSE",
            "identifier": "LCSW - 35114",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.