Active NPI
Lindsay Patricia Kuroski
- Clinical Social Worker
- Port Huron, MI
National Provider Identifier
1619569100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091721
- Practice address
- 309 Huron Ave Ste B
Port Huron, MI 48060-3869 - Phone
- (810) 689-9899
- NPI assigned
- Feb 6, 2021
- Last updated
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 6801091721 | MI | Primary |
Addresses
Primary practice location
309 Huron Ave Ste B
Port Huron, MI 48060-3869
Mailing address
2551 Reeves Rd
Riley, MI 48041-1411
Phone (810) 531-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801091721 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJL Consultants LLC | Clinical | Current | Accepting new patients |
Locations
309 Huron Ave
Ste B
Port Huron, MI 48060
Phone (810) 689-9899
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612569600000",
"number": "1619569100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 REEVES RD",
"city": "RILEY",
"state": "MI",
"postal_code": "480411411",
"telephone_number": "810-531-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 HURON AVE STE B",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603869",
"telephone_number": "810-689-9899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUROSKI",
"first_name": "LINDSAY",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-06",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.