Active NPIIndividual provider

Tracey F Kunkin, LMSW

Social Worker, Clinical in Staten Island, New York

NPI Number1265656326
Practice location
3974 Amboy RD, 3RD Fl, Staten Island, NY 10308-2414
Fax
718-984-5165
Last updated
July 8, 2007

Tracey F Kunkin is a Social Worker, Clinical based in Staten Island, NY. Tracey F Kunkin practices in Staten Island, NY and has the professional credentials of LMSW. The NPI Number for Tracey F Kunkin is 1265656326 and holds a License No. 066954-1 (NY). The current practice location address for Tracey F Kunkin is 3974 Amboy RD, 3RD Fl, Staten Island, NY 10308-2414 and can be reached out via phone at 718-984-5050 and via fax at 718-984-5165.

Provider Profile Details

NPI Number
1265656326
Provider Name
Tracey F Kunkin
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
3974 Amboy RD, 3RD Fl, Staten Island, NY 10308-2414
Phone Number
718-984-5050
Fax Number
718-984-5165
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3974 Amboy RD
3RD Fl
Staten Island, NY 10308-2414
Zip
10308-2414
Phone Number
718-984-5050
Fax Number
718-984-5165
Staten Island, NY 10308Get directions →

Provider Business Mailing Address Details

Address
161 14TH St
#2
Hoboken, NJ 07030-4417
City
Hoboken
State
NJ
Zip
07030-4417
Phone Number
201-240-6780

License Information

License Number
066954-1
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracey F Kunkin, LMSW?

The NPI number of Tracey F Kunkin, LMSW is 1265656326. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Tracey F Kunkin, LMSW?

Tracey F Kunkin, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 066954-1.

Where does Tracey F Kunkin, LMSW practice?

The practice location is 3974 Amboy RD, 3RD Fl, Staten Island, NY 10308-2414. The office can be reached at 718-984-5050 (phone) or 718-984-5165 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265656326 directly on the NPPES registry website.

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