Shirley Ann Deknegt Kuzik

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05525100 Issued in NJ

Practice address

37 Main St Ste 1091
Sparta, NJ 07871-1903

Phone

(973) 945-1322

NPI assigned

Aug 27, 2009

Last updated

Aug 10, 2020By the provider in NPPES

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

Other names 1

• Shirley Ann Deknegt Other name

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.

• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1255676201
  NPD (past)
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1982768420
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1407089253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 E SHORE TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712010",
            "telephone_number": "973-945-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST STE 1091",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711903",
            "telephone_number": "973-945-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKNEGT KUZIK",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05525100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "DEKNEGT",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter A Davanzo, MD
• David Stackhouse Inc
• Dawn Center for Independent Living, Inc.
• Skyler Marie Deblasio, PHARMD
• Tatiana Josephine Defrance
• Angela Renee Delong
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• Carmen Joseph Depasquale, LSW
• Jaime Ann Dequinzio, PH.D
• Derek R. Noonan, DMD, LLC

• Social Worker in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.