Mary Jo Ann Kusiak, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7628 Issued in FL

Practice address

3907 Peppervine Dr
Orlando, FL 32828-7710

Phone

(407) 963-9511

Fax

(407) 482-2304

NPI assigned

Jun 10, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Energy Follows Thought Enterprises

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1720308901
  NPD (past) Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1336469501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PEPPERVINE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287710",
            "telephone_number": "407-963-9511",
            "fax_number": "407-482-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PEPPERVINE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287710",
            "telephone_number": "407-963-9511",
            "fax_number": "407-482-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSIAK",
        "first_name": "MARY JO",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Kurtz, OPTICIAN
• Kristy Bernardi Kurz, ARNP
• Jeff R Kurzon, LHAS
• Jeffrey D Kurzon, MD
• Kimberly Kurzon
• Jorge A Kusnir, M.D.
• Lauren Nicole Kustin
• Zachary Odin Kustin, PA-C
• Mia Kutanjac
• Lilian Mokeira Kuzenski

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.