Individual provider Active NPI

Christina Marie Kuchcinski, LSW

  • Social Worker
  • Hermitage, PA
National Provider Identifier
1417225574
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129163 Issued in PA
Practice address
2375 Garden Way
Hermitage, PA 16148-5209
Phone
(724) 983-5454
Fax
(724) 983-5419
NPI assigned
Dec 5, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129163 PA Primary

Addresses

Primary practice location

2375 Garden Way
Hermitage, PA 16148-5209

Mailing address

2375 Garden Way
Hermitage, PA 16148-5209
Phone (724) 983-5454

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW129163PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1417225574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHCINSKI",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.