Individual provider Active NPI

Aaron James Kurtz, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1952687873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW75180 Issued in CA
Practice address
11770 Bernardo Plaza CT Ste 370
San Diego, CA 92128-2426
Phone
(858) 673-3360
Fax
(858) 592-0884
NPI assigned
Oct 24, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 LCSW75180 CA Primary

Addresses

Primary practice location

11770 Bernardo Plaza CT Ste 370
San Diego, CA 92128-2426

Mailing address

PO Box 609001
San Diego, CA 92160-9001
Phone (619) 528-4600

Other practice location 1

730 Summersong Ln
Encinitas, CA 92024-5453
Phone (760) 814-7622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW75180CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Kurtz CurrentSince Apr 17, 2018 Accepting new patients
Cognitive Care Solutions Inc CurrentSince Apr 1, 2017 Accepting new patients

Locations

1526 Brookhollow Dr
Ste 73
Santa Ana, CA 92705
Phone (714) 545-3390

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952687873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921609001",
            "telephone_number": "619-528-4600",
            "fax_number": "619-528-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282426",
            "telephone_number": "858-673-3360",
            "fax_number": "858-592-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Summersong Ln",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245453",
            "country_code": "US",
            "telephone_number": "760-814-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "AARON",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.