Kristen E Nurkowski, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW106937 Issued in CA

Practice address

440 S Melrose Dr Ste 200
Vista, CA 92081-6666

Phone

(833) 444-6463

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mindbodyology Family Therapy Inc

  • Health Service Clinic/Center
  • Vista, CA
  • NPI 1073077111
  NPD

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1467806604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 SANTA MONICA AVE # 7505",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072810",
            "telephone_number": "619-500-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MELROSE DR STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816666",
            "telephone_number": "833-444-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURKOWSKI",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW106937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Novak, D.O.
• Claudio Nunez
• Kayla Alexia Nunez
• Laura Lynn Nunez
• Marline Berenice Nunez
• Cynthia Lynn Nutter, M.F.T.
• Mary Ann Nycum, MA MFT
• Mark C O'Brien, D.O.
• Paulette Louise O'Connor, DDS
• Diane Mary Oakes, M.A. MFT

• Clinical Social Worker in Vista, CA
• Providers in Vista, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.