Nicole S Kuzmicic, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1638G Issued in AL

Practice address

930 20TH St S
Suite 101
Birmingham, AL 35205-2610

Phone

(205) 934-5471

Fax

(205) 975-2380

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By 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

Enrolled in AL

Eligible to order & refer

• Part B services: No
• 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.kuzmicic.1@12822.direct.athenahealth.com

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.

• Central North Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
  • NPI 1407891336
  Medicare reassignment NPD
• Central North Alabama Health Services, Inc.

  • Chiropractor
  • Huntsville, AL
  • NPI 1487254520
  NPD
• Central North Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eva, AL
  • NPI 1972869931
  NPD
• University of Alabama at Birmingham

  dba Civitan-Sparks Clinics/Option Clinic

  • Developmental Disabilities Clinic/Center
  • Birmingham, AL
  • NPI 1447445135
  NPD (past)
• University of Alabama at Birmingham

  dba Civitan-Sparks Clinics All-Kids

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1710299425
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972714665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD AVE S",
            "address_2": "CH19 - 307",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940002",
            "telephone_number": "205-934-5471",
            "fax_number": "205-975-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 20TH ST S",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052610",
            "telephone_number": "205-934-5471",
            "fax_number": "205-975-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMICIC",
        "first_name": "NICOLE",
        "middle_name": "S",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "1638G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Engle Kupper
• Tomas Kuprys, M.D.
• Matthew Kutny, MD
• John Ellis Kuykendall
• Zachary Kuykendall
• Michael M Kwarcinski, O.D.
• Kenneth Kwiek
• Kondal Kyanam Kabir Baig
• Victor F. Kyatt III
• Kyle Echols MD LLC

• Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Social Worker in Alabama

• 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.
• 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.