Organization Active NPI

JCK Therapy LCSW, PLLC

  • Clinical Social Worker
  • Weston, CT
National Provider Identifier
1821872151
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JCK THERAPY LCSW, PLLC
Practice address
6 Briar Oak Dr
Weston, CT 06883-2719
Phone
(516) 698-0282
NPI assigned
Aug 18, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Mrs. Jordan Kuchta, LCSWNPI 1740803253
Title
Owner/LCSW
Phone
(516) 698-0282

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6 Briar Oak Dr
Weston, CT 06883-2719

Mailing address

954 Lexington Ave # 1021
New York, NY 10021-5055
Phone (929) 486-1520

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1821872151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 LEXINGTON AVE # 1021",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215055",
            "telephone_number": "929-486-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIAR OAK DR",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832719",
            "telephone_number": "516-698-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCK THERAPY LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "KUCHTA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "516-698-0282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.