Active NPI
Laura Kranenberg, LCSW
- Social Worker
- Wantagh, NY
National Provider Identifier
1053538967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 062557-1
- Practice address
- 1400 Wantagh Ave
Suite 201
Wantagh, NY 11793-2257 - Phone
- (516) 319-7896
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 062557-1 | NY | Primary |
Addresses
Primary practice location
1400 Wantagh Ave
Suite 201
Wantagh, NY 11793-2257
Mailing address
114 Cardinal LN
1A
Islip, NY 11751-3362
Phone (516) 319-7896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 24, 2024 through Dec 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062557-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1053538967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CARDINAL LN",
"address_2": "1A",
"city": "ISLIP",
"state": "NY",
"postal_code": "117513362",
"telephone_number": "516-319-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WANTAGH AVE",
"address_2": "SUITE 201",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932257",
"telephone_number": "516-319-7896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANENBERG",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "062557-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.