Active NPI
Nell B Kushlak, LCSW
- Clinical Social Worker
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009233
- Practice address
- 124 Amherst St Ste 203
Winchester, VA 22601-4114 - Phone
- (540) 242-1415
- Fax
- (540) 242-1371
- NPI assigned
- Dec 12, 2006
- Last updated
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009233 | VA | Primary |
Addresses
Primary practice location
124 Amherst St Ste 203
Winchester, VA 22601-4114
Mailing address
124 Amherst St
Winchester, VA 22601-4114
Phone (540) 242-1415
Other practice location 1
125 S Cameron St
Winchester, VA 22601-4732
Phone (540) 722-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
124 Amherst St
Suite 203
Winchester, VA 22601-4114
Phone (540) 242-1415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009233 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nell Kushlak, LCSW PLLC | Current | Accepting new patients | |
| Roxanne Ostlund LPC PLCC | Past | Accepting new patients | |
| Maine Center, Inc. | Past | Accepting new patients |
Locations
124 Amherst St
Ste 203
Winchester, VA 22601
Phone (540) 242-1415
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Winchester, VA
- NPI 1689140915
-
- Professional Counselor
- Winchester, VA
- NPI 1326592742
-
- Community/Behavioral Health Agency
- Park Ridge, IL
- NPI 1518087188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1619038718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014114",
"telephone_number": "540-242-1415",
"fax_number": "540-242-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 AMHERST ST STE 203",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014114",
"telephone_number": "540-242-1415",
"fax_number": "540-242-1371"
}
],
"practiceLocations": [
{
"address_1": "125 S CAMERON ST",
"address_purpose": "LOCATION",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014732",
"country_code": "US",
"telephone_number": "540-722-0750",
"fax_number": "540-722-0751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHLAK",
"first_name": "NELL",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.