Individual provider Active NPI

Dianne Campbell Kuchlak, LCSW

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1861746802
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012390 Issued in PA
Practice address
47 Marchwood Rd
Suite 2-H
Exton, PA 19341-1835
Phone
(610) 280-9555
Fax
(610) 280-9532
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012390 PA Primary

Addresses

Primary practice location

47 Marchwood Rd
Suite 2-H
Exton, PA 19341-1835

Mailing address

47 Marchwood Rd
Suite 2-H
Exton, PA 19341-1835
Phone (610) 280-9555

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

LicenseStateTypeSpecialty
CW012390PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1861746802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MARCHWOOD RD",
            "address_2": "SUITE 2-H",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411835",
            "telephone_number": "610-280-9555",
            "fax_number": "610-280-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MARCHWOOD RD",
            "address_2": "SUITE 2-H",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411835",
            "telephone_number": "610-280-9555",
            "fax_number": "610-280-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHLAK",
        "first_name": "DIANNE",
        "middle_name": "CAMPBELL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.