C David Kuchinski Jr., LCSW

Key facts

NPI

1376586503

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

Practice address

6425 West 12TH Street
Little Rock, AR 72204-1509

Phone

(501) 666-7233

Fax

(501) 660-6834

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Centers for Youth and Families Community/Behavioral Health Agency · Little Rock, AR · NPI 1679751945
  NPD (past)
• Centers for Youth and Families, Inc. Psychiatric Residential Treatment Facility · Little Rock, AR · NPI 1174617526
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

Other names

• Charles David Kuchinski Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2023.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1376586503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 WEST 12TH STREET",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041509",
            "telephone_number": "501-666-7233",
            "fax_number": "501-660-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHINSKI",
        "first_name": "C",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "KUCHINSKI",
            "middle_name": "DAVID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Little Rock, AR · Clinical Social Worker in Arkansas