Alexander Kukich, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901933 Issued in OH

Practice address

8227 Brecksville Rd Ste 104
Brecksville, OH 44141-1363

Phone

(440) 526-0468

Fax

(440) 526-0454

NPI assigned

Nov 27, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Avenues of Counseling and MediationGroup PAC ID 6406931880, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avenues of Counseling and Mediation

  • Mental Health Counselor
  • Medina, OH
  • NPI 1225253107
  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Lisa Borchert Dba Avenues of Counseling

  • Mental Health Counselor
  • Medina, OH
  • NPI 1750581179
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1457998296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD STE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411363",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD STE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411363",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKICH",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Effie Konstas
• Troy Adam Koval, PA-C
• Neal F Kozlowski, PH.D.
• Linda Sue Kramer, RN
• Carolyn Kray, NP
• Kamaljit Kumar
• Heather Carol Kunkle, CTRS
• Kathryn Kurtz
• Margaret Marie Kurtz, NP
• Kimberly Kutschbach, BCBA

• Clinical Social Worker in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.