Traci Kim Krygiel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015035780 Issued in MO

Practice address

13160 CR 3610
St. James, MO 65559-1089

Phone

(573) 259-2301

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2019.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1124375431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ERIN RD",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654537319",
            "telephone_number": "573-259-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 CR 3610",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "655591089",
            "telephone_number": "573-259-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYGIEL",
        "first_name": "TRACI",
        "middle_name": "KIM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2012021690",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015035780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas City Vamc
• Kristin Keppler
• Susan Elaine Kern
• Melissa Dawn Kopp, OTR/L
• Cathy Kossuth, RPT
• Rikki Lauren Lee-Perales, LMSW
• Tiffany Lenger, LPC
• Lester E Cox Medical Centers
• Marie Elizabeth Manion, MA, PLPC
• Jesus Martinez, LCSW

• All providers in St. James, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.