Nicole H Kurdyla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05377100 Issued in NJ

Practice address

1410 Dominic St
Manville, NJ 08835-1916

Phone

(908) 783-3676

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Kurdyla Former name

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1982332029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691346",
            "telephone_number": "908-578-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 DOMINIC ST",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351916",
            "telephone_number": "908-783-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURDYLA",
        "first_name": "NICOLE",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KURDYLA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emil Kesler, D.D.S.
• Valentina M Kesler, DDS
• Mohammed N. Khan, MD
• Sophia Kim, PHARMD
• Samantha Anne Krongold, BLA, OTR/L
• Anthony Lawrence, RP
• Karen Ann Lewandowski, RPH
• Lilia B Lorenzo
• M&S National Investments LLC (M&S Home Healthcare)
• M&S National Investments LLC Dba M&S Home Healthcare (M&S Home Healthcare)

• Clinical Social Worker in Manville, NJ
• Providers in Manville, 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 Aug 18, 2022; 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.