Individual provider Active NPI

Mary F Kurzon, LCSW

  • Clinical Social Worker
  • Schenectady, NY
National Provider Identifier
1528047941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069755 Issued in NY
Practice address
216 Lafayette St
Schenectady, NY 12305-2408
Phone
(518) 243-3300
Fax
(518) 377-9151
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069755 NY Primary

Addresses

Primary practice location

216 Lafayette St
Schenectady, NY 12305-2408

Mailing address

1462 Erie Blvd
Suite 2
Schenectady, NY 12305-1026
Phone (518) 243-1500

Other identifiers 2

IdentifierTypeStateIssuer
000411437001OtherBSNENY
N32B91OtherNYBLUE CROSS

Other names 1

  • Mary Kaye Kurzon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050707000836 NY Practitioner - Clinical Social Worker 8224074778 Practice locations: Latham, NY
I20220802000610 NC Practitioner - Clinical Social Worker 8224074778 Practice locations: Chapel Hill, NC; Durham, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

122 Eagles Nest Dr
Durham, NC 27712-2989
Phone (518) 265-7135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069755NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528047941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD",
            "address_2": "SUITE 2",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051026",
            "telephone_number": "518-243-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAFAYETTE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052408",
            "telephone_number": "518-243-3300",
            "fax_number": "518-377-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZON",
        "first_name": "MARY",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000411437001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N32B91",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KURZON",
            "middle_name": "KAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.