Kristen Gurdak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5719 NW 81St Ter
Tamarac, FL 33321-4528

Phone

(561) 350-3864

NPI assigned

Aug 29, 2014

Last updated

Nov 28, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1710387402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NW 44TH TER APT 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429203",
            "telephone_number": "561-843-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5719 NW 81ST TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214528",
            "telephone_number": "561-350-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURDAK",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise M. Guevara, D.O.
• Luz Alejandra Guevara
• Athena Gabriella Guice, CERTIFIED DOULA
• Anne Michelle Guillaume, LCSW
• Gulay Guner, PSY.D.
• Gus Armenakis MD PA
• Anna Ruth Gutierrez-Hatch, LMHC
• Estefany Gutierrez
• Carol Lynn Gwaltney, LCSW
• Everold Esmile Haffizulla, M.D.

• Clinical Social Worker in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.