Active NPI
Nell Kushlak, LCSW PLLC
- Community/Behavioral Health Agency
- Winchester, VA
National Provider Identifier
1689140915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NELL KUSHLAK, LCSW PLLC
- Practice address
- 124 Amherst St Ste 203
Winchester, VA 22601-4114 - Phone
- (540) 242-1415
- Fax
- (540) 242-1371
- NPI assigned
- Oct 14, 2018
- Last updated
- Oct 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nell B Kushlak, LCSW
- Title
- Member Manager
- Phone
- (540) 242-1415
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
124 Amherst St Ste 203
Winchester, VA 22601-4114
Mailing address
124 Amherst St Ste 203
Winchester, VA 22601-4114
Phone (540) 242-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 Amherst St
Ste 203
Winchester, VA 22601
Phone (540) 242-1415
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Winchester, VA
- NPI 1619038718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539475200000",
"number": "1689140915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": [],
"basic": {
"organization_name": "NELL KUSHLAK, LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-14",
"last_updated": "2018-10-14",
"status": "A",
"authorized_official_last_name": "KUSHLAK",
"authorized_official_first_name": "NELL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "540-242-1415",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Oct 14, 2018; 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.