Amy Marie Kuscsik, CPST
Individual provider Active NPI Case Manager/Care Coordinator · Jeromasville, OH
NPI 1740849017 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1740849017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 304 County Road 2000
Jeromasville, OH 44840-9758 - Phone
- (419) 289-4825
- Fax
- (419) 289-4826
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ground Work Play Therapy, Inc. | Current |
Accepting new patients |
Locations
1763 St Rt 60
Ashland, OH 44805
Phone (419) 281-3788
304 County Road 2000
Jeromesville, OH 44840
Phone (419) 289-4325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
304 County Road 2000
Jeromasville, OH 44840-9758
Mailing address
304 County Road 2000
Jeromasville, OH 44840-9758
Phone (419) 289-4825
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.