Jzua Kurniawanto, is a
Social Worker - Clinical based in Frederick, Maryland. Jzua Kurniawanto is licensed to practice in * (Not Available) (license number ) and her current practice location is
8654 Indian Springs Rd, Frederick, Maryland. She can be reached at her office (for appointments etc.) via phone at
(240) 383-5874.
NPI number for Jzua Kurniawanto is 1063271062 and her current mailing address is 8654 Indian Springs Rd, Frederick, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063271062.
Healthcare Provider's Profile
Full Name | Jzua Kurniawanto |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8654 Indian Springs Rd, Frederick, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063271062
- Provider Enumeration Date: 03/13/2024
- Last Update Date: 03/13/2024
Medical Identifiers
Medical identifiers for Jzua Kurniawanto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063271062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jzua Kurniawanto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jzua Kurniawanto, 8654 Indian Springs Rd, Frederick, MD 21702-2328 Ph: () - | Jzua Kurniawanto, 8654 Indian Springs Rd, Frederick, MD 21702-2328 Ph: (240) 383-5874 |
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