Beth Zukowski

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

005595 Issued in CT

Legal business name

BETH ZUKOWSKI

Doing business as

Beth Zukowski

Practice address

150 Schnoor Road
Killingworth, CT 06419

Phone

(860) 685-1701

NPI assigned

Mar 25, 2009

Last updated

Mar 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Zukowski, LCSWNPI 1598716128

Title

Clinical Social Worker

Phone

(860) 685-1701

Specialties & licenses 1

Addresses

Other names 1

• Beth Zukowski Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth L Zukowski, LCSW

  • Clinical Social Worker
  • Farmington, CT
  • NPI 1598716128
  NPD (past) Authorized official

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1497997225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCHNOOR ROAD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "06419",
            "telephone_number": "860-685-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SCHNOOR ROAD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "06419",
            "telephone_number": "860-685-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ZUKOWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "ZUKOWSKI",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-685-1701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "005595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Zukowski",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Killingworth, CT
• Providers in Killingworth, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.