Organization Active NPI

Andrea Kurzner LCSW LLC

  • Clinical Social Worker
  • Millburn, NJ
National Provider Identifier
1659894665
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05627600 Issued in NJ
Legal business name
ANDREA KURZNER LCSW LLC
Practice address
368 Essex St FL 2
Millburn, NJ 07041-1330
Phone
(917) 239-4529
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Andrea Kurzner, LCSW, BCD, ACSWNPI 1437585502
Title
Psychotherapist
Phone
(917) 239-4529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05627600 NJ Primary

Addresses

Primary practice location

368 Essex St FL 2
Millburn, NJ 07041-1330

Mailing address

1489 Force Dr
Mountainside, NJ 07092-1709
Phone (917) 239-4529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825000806 NJ Part B Supplier - Clinic/Group Practice 5890067847 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Locations

150 Morris Ave
Ste 103
Springfield, NJ 07081
Phone (347) 205-1176

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1659894665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 FORCE DR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921709",
            "telephone_number": "917-239-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 ESSEX ST FL 2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411330",
            "telephone_number": "917-239-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA KURZNER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "KURZNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-239-4529",
        "authorized_official_credential": "LCSW, BCD, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05627600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.