Kellie Cuzzola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04740700 Issued in NJ

Practice address

115 Claremont Ave
Colonia, NJ 07067-2919

Phone

(732) 259-5970

NPI assigned

Nov 2, 2006

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kitchen Table Counseling, LLC

  • Clinical Social Worker
  • Colonia, NJ
  • NPI 1720405640
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1932287265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLAREMONT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672919",
            "telephone_number": "732-259-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CLAREMONT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672919",
            "telephone_number": "732-259-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUZZOLA",
        "first_name": "KELLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04740700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonia District No 12 First Aid Squad (Colonia First Aid Squad)
• Colonia Natural Pharmacy, Inc.
• Colonia Spine & Wellness Center PA
• Vincent Colonna, DMD
• Curaone LLC
• Amanda D'Alessandro
• Gina Costa Danner, PHD
• Gabrielle Hope Demarco
• Nicole Demerchant, CNM
• Ana Maria Depaola

• Clinical Social Worker in Colonia, NJ
• Providers in Colonia, 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 Mar 28, 2014; 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.