Jennifer Kozlowski Pietrzak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4104-C Issued in NV

Practice address

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020

Phone

(702) 219-7597

Fax

(702) 441-0906

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Valley Therapy

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1427571637
  Medicare reassignment NPD Authorized official
• Associated Neuro & Psychological Specialties

  • Psychologist
  • Henderson, NV
  • NPI 1619042181
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1699854331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-219-7597",
            "fax_number": "702-939-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-219-7597",
            "fax_number": "702-441-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRZAK",
        "first_name": "JENNIFER",
        "middle_name": "KOZLOWSKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "4104-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie L Piel
• Gwendolyn A Pierce
• S William Pierce, MD
• Sharice Pierce
• Nicholas Nalic Pierides Jr., OTR/L
• Marites Pilapil, APRN
• Debbie Pilarczyk
• Pills2Me
• Tatevik Pilosyan, D.D.S.
• Cherl Pilz

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.

Verify at the official NPI Registry.