Active NPI
Alicja Wioletta Kusiak-Brownstein, PH.D., MSW
- Clinical Social Worker
- Valparaiso, IN
National Provider Identifier
1477123503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2005 Valparaiso St Ste 209
Valparaiso, IN 46383-3331 - Phone
- (219) 252-5464
- Fax
- (219) 728-1869
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2005 Valparaiso St Ste 209
Valparaiso, IN 46383-3331
Mailing address
17801 Waxwing LN
South Bend, IN 46635-1328
Phone (574) 401-3928
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lpa Co. | Clinical | Current | Accepting new patients |
Locations
2005 Valparaiso St
Ste 209
Valparaiso, IN 46383
Phone (219) 252-5464
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1477123503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17801 WAXWING LN",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351328",
"telephone_number": "574-401-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 VALPARAISO ST STE 209",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833331",
"telephone_number": "219-252-5464",
"fax_number": "219-728-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSIAK-BROWNSTEIN",
"first_name": "ALICJA",
"middle_name": "WIOLETTA",
"name_prefix": "Dr.",
"credential": "PH.D., MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.