Active NPI
Kathleen Anne Kuczynski, DSW MSW
- Social Worker
- Johnson City, TN
National Provider Identifier
1851489595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW454
- Practice address
- 600 East Unaka Ave
Johnson City, TN 37601 - Phone
- (423) 928-0005
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW454 | TN | Primary |
Addresses
Primary practice location
600 East Unaka Ave
Johnson City, TN 37601
Mailing address
600 East Unaka Ave
Johnson City, TN 37601-4035
Phone (423) 928-0005
Other names 1
- Dr. Kay Anne Kuczynski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW454 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851489595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 EAST UNAKA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014035",
"telephone_number": "423-928-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST UNAKA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "423-928-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCZYNSKI",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DSW MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAY",
"last_name": "KUCZYNSKI",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "DSW MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.