Mary Bruce-Kulcsar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05982400 Issued in NJ

Practice address

1704 Maxwell Dr Ste 106
Wall Township, NJ 07719-3852

Phone

(732) 641-6958

NPI assigned

Aug 5, 2019

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

State licenses

Practice roles

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.

• Mary Bruce-Kulcsar LCSW

  • Clinical Social Worker
  • Wall Township, NJ
  • NPI 1689252090
  NPD
• Tree of Life Counseling Center, LLC

  • Mental Health Counselor
  • Freehold, NJ
  • NPI 1841711306

  Clinical

  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1760037972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENDOLA RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194509",
            "telephone_number": "732-604-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MAXWELL DR STE 106",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193852",
            "telephone_number": "732-641-6958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2609 Glendola Rd",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077194509",
            "country_code": "US",
            "telephone_number": "732-604-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE-KULCSAR",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-08-14",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05982400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Health Center
• Brandywine Senior Living at Wall
• Brandywine Senior Living at Wall
• Mariah E Bricker
• Heather Brown, OTR/L
• Stephen Richard Bruno, DC
• Patrick S Buckley, MD
• Cristine Buehler, SLP
• Mary Burke
• By Design Social Skills LLC

• Clinical Social Worker in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.