Nissy Kurian-Shajan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW7570 Issued in GA

Practice address

1365 Stoney Field PL
Lawrenceville, GA 30043-3860

Phone

(404) 824-3981

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1609458645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 STONEY FIELD PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433860",
            "telephone_number": "404-824-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 STONEY FIELD PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433860",
            "telephone_number": "404-824-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAN-SHAJAN",
        "first_name": "NISSY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW7570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mailupillai Kumareswaran, MD
• Margaret Ann Kuneyl, OT
• Brooke Kunz, PHARMD
• David W Kunz, MD
• Catrina Kure, DO
• Karuna Kusan, M.D.
• Stephen I Kushins, MD
• Abel E Kusovschi, PHARMD
• Kuzhy Dental LLC
• Aloysius Kwabla Kwakumey, MSPT, PHD

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.