Amanda Danielle Kurtz, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P07629 Issued in NY

Practice address

268 N Broadway
Hicksville, NY 11801-2923

Phone

(619) 866-9535

NPI assigned

Oct 19, 2017

Last updated

Oct 19, 2017By 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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1841701505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012923",
            "telephone_number": "610-866-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012923",
            "telephone_number": "619-866-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P07629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manisha B Kothari, P.T., D.P.T.
• Victoria Lynn Kowalsky
• Daniel John Kozak
• Amrit Kumar, P.A
• Sumiti Kumar
• Maya Kurtz, RPH
• Tristen Nicole Kuznesoff, RN
• L & M Pharmacy Inc (Smith Pharmacy)
• L. I. Yellow Cab Corp.
• L.I. Yellow Cab Corp.

• Social Worker in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.