Sandra L Krusich, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

193 Issued in KS

Practice address

1 Mt Carmel Way
Pittsburg, KS 66762-7587

Phone

(620) 235-7940

Fax

(620) 235-7908

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: sandra.krusich@khindirect.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1124307715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-235-7940",
            "fax_number": "620-235-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-235-7940",
            "fax_number": "620-235-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSICH",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "0193",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kirkland, LMSW
• Laura Klusener, OTR
• Erin Marie Knox, PT, DPT
• Daniel Joseph Koehn, M.D.
• Tamara Kolacny, PHARMD
• Alex Kuhlman, DPT
• Skyler Kuntzman, OTD, OTR
• Labette County Medical Center (Labette Health Pittsburg Clinic)
• Donald Jay Laforte, LSCSW
• Cara Lake

• Clinical Social Worker in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.