Active NPI
Deborah Peskoff Kuznick, LCSW
- Clinical Social Worker
- East Northport, NY
National Provider Identifier
1669535969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73333
- Practice address
- 514 Larkfield Rd
Suite 4a
East Northport, NY 11731-4211 - Phone
- (631) 834-1545
- NPI assigned
- Dec 18, 2006
- 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 | 73333 | NY | Primary |
Addresses
Primary practice location
514 Larkfield Rd
Suite 4a
East Northport, NY 11731-4211
Mailing address
44 Rustic Gate LN
Dix Hills, NY 11746-6134
Phone (631) 643-3121
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73333 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669535969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 RUSTIC GATE LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466134",
"telephone_number": "631-643-3121",
"fax_number": "631-643-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 LARKFIELD RD",
"address_2": "SUITE 4A",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314211",
"telephone_number": "631-834-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESKOFF KUZNICK",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.