MEDICARE: MS. IVONA HUSZCZA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	102773	NY

General Provider Information

NPI Number	:	1730487620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IVONA HUSZCZA LCSW

Provider Business Mailing Address
First Line	:	12340 83RD AVE APT 11K
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3432
Country	:	US
Telephone Number	:	917-309-8118
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 N 12TH ST STE 704
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-1002
Country	:	US
Telephone Number	:	718-841-0829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	05/18/2026

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