Active NPI
Mikel Juris Krasts, MA, MSW, LMSW, LSW
- Social Worker
- Wyckoff, NJ
National Provider Identifier
1124727375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06679200
- Practice address
- 238 Everett Ave
Wyckoff, NJ 07481-1952 - Phone
- (201) 543-1402
- NPI assigned
- Feb 27, 2023
- Sex
- Male
- 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 | 44SL06679200 | NJ | Primary |
Addresses
Primary practice location
238 Everett Ave
Wyckoff, NJ 07481-1952
Mailing address
238 Everett Ave
Wyckoff, NJ 07481-1952
Phone (201) 543-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06679200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1124727375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 EVERETT AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811952",
"telephone_number": "201-543-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 EVERETT AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811952",
"telephone_number": "201-543-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASTS",
"first_name": "MIKEL",
"middle_name": "JURIS",
"credential": "MA, MSW, LMSW, LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06679200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.