Provider Demographics
NPI:1265651681
Name:KULCZYCKYJ, SONYA (MSW, LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:KULCZYCKYJ
Suffix:
Gender:F
Credentials:MSW, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E MAIN ST
Mailing Address - Street 2:SUITE 20B
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2175
Mailing Address - Country:US
Mailing Address - Phone:973-625-1020
Mailing Address - Fax:973-625-1018
Practice Address - Street 1:5 E MAIN ST
Practice Address - Street 2:SUITE 20B
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2175
Practice Address - Country:US
Practice Address - Phone:973-625-1020
Practice Address - Fax:973-625-1018
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00144100101YA0400X
NJ44SC046294001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)