Kathleen M Niesen Zucchi, LCSW
Social Worker, Clinical in Rockford, IL. Individual provider (NPI-1).
NPI number1750995437
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1750995437
- Entity type
- Individual (NPI-1)
- Name
- Kathleen M Niesen Zucchi
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.008068 | IL | Yes |
Practice location
631 N Longwood St Ste 103Rockford, IL 61107-4263
Phone 815-962-5585
Mailing address
631 N Longwood St Ste 103Rockford, IL 61107-4263
Phone 815-962-5585
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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