Shiva Kuczinski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S59770214 Issued in MA

Practice address

17 Greenville St
Roxbury, MA 02119-2315

Phone

(617) 783-8035

NPI assigned

Sep 22, 2015

Sex

Female

Sole proprietor

No

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 MA

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

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.

• High Point Treatment Center Inc.

  • Counselor
  • New Bedford, MA
  • NPI 1518996354
  Medicare reassignment NPD
• Lumin Health PG

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newton, MA
  • NPI 1538819909
  Medicare reassignment NPD
• Third Space Therapy PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1215780234

  MA

  Medicare reassignment NPD
• New York State Health Medical PC

  • Mental Health Counselor
  • New York, NY
  • NPI 1043156029
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1518336338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GREENVILLE ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192315",
            "telephone_number": "617-783-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GREENVILLE ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192315",
            "telephone_number": "617-783-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZINSKI",
        "first_name": "SHIVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "S59770214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryrose Kline
• Gianna Marie Knapp
• Kathryn Kochan, NP-C
• Brianna Joy Krajnyak, O.D.
• Vasken M Kroshian, M.D.
• Reinorf Kusi
• Tonny Makumbi Kyagambiddwa
• La Alianza Hispana
• La Alianza Hispana, Inc
• Yessica Labour Aguasvivas, CNP

• Clinical Social Worker in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.