Kyle Donovan Kucmierowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103535-1 Issued in NY

Practice address

301 W Broad St
Horseheads, NY 14845-2303

Phone

(607) 654-0790

Fax

(631) 350-0396

NPI assigned

May 7, 2019

Sex

Male

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 NY

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Tier Counseling Center, LLC

  • Clinical Social Worker
  • Elmira, NY
  • NPI 1598716292
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1568027357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052562",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BROAD ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452303",
            "telephone_number": "607-654-0790",
            "fax_number": "631-350-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 W Water St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149052562",
            "country_code": "US",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCMIEROWSKI",
        "first_name": "KYLE",
        "middle_name": "DONOVAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Klotz, LMHC
• Stacy Elizabeth Klug, OTR/L
• Jennifer Knapp, LMSW
• Nina Alexandra Kolesar, PSY.D.
• Kathleen Krazinski, R.PH.
• Frances Lambiase, ANP
• Brianna Lynn Laramee, PA-C
• Kate Susanne Larrabee
• William Bruce Laurie Jr., O.D.
• Anna Lavin

• Clinical Social Worker in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.