MS. ALISSA SUSAN KUZNICK (LICSW) – Clinical Social Worker, NPI 1164551768

MS. ALISSA SUSAN KUZNICK (LICSW) is a healthcare provider. based in West newton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 110978 (MA). The NPI Number for MS. ALISSA SUSAN KUZNICK (LICSW) is 1164551768

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALISSA SUSAN KUZNICK (LICSW)
NPI
1164551768
Phone
(617) 795-0248
Address
144 FULLER ST
Enumeration Date
2 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172853435
Graduation Year
1989 (37 years ago)
PAC ID
2961432703
Professional Enrollment ID
I20050822000282
Address ID
MA024652803NE144XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MS. ALISSA SUSAN KUZNICK (LICSW)

  • 144 FULLER ST

    WEST NEWTON, MA 024652803

    Phone: (617) 795-0248

    Fax: (617) 795-0263

    Type: Mailing

  • 92 HIGH ST

    DH7

    MEDFORD, MA 021553850

    Phone: (781) 393-8889

    Fax: (781) 396-3948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050822000282IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02465)

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Reviews

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Frequently asked questions

What is the standard ID for MS. ALISSA SUSAN KUZNICK (LICSW) in the U.S.?
In the U.S., MS. ALISSA SUSAN KUZNICK (LICSW) is identified by NPI 1164551768.
Should I treat MS. ALISSA SUSAN KUZNICK (LICSW) as an active provider?
Patients and plans typically see MS. ALISSA SUSAN KUZNICK (LICSW) as active in the national extract.
What does the directory say MS. ALISSA SUSAN KUZNICK (LICSW) does?
Insurance directories may phrase it differently, but here MS. ALISSA SUSAN KUZNICK (LICSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. ALISSA SUSAN KUZNICK (LICSW)?
MS. ALISSA SUSAN KUZNICK (LICSW) is associated with West Newton, Massachusetts in the same public data insurers reference.
Can I export MS. ALISSA SUSAN KUZNICK (LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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