Individual provider Active NPI

Pamela Beth Krasner, M.S.W.

  • Clinical Social Worker
  • San Carlos, CA
National Provider Identifier
1144464868
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 19589 Issued in CA
Practice address
610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone
(650) 579-0361
Fax
(650) 342-6727
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 19589 CA Primary

Addresses

Primary practice location

610 Elm St
Suite 212
San Carlos, CA 94070-8401

Mailing address

610 Elm St
Suite 212
San Carlos, CA 94070-8401
Phone (650) 579-0361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 19589CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Educational Alliance, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/aura_educational_alliance

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1144464868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ELM ST",
            "address_2": "SUITE 212",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940708401",
            "telephone_number": "650-579-0361",
            "fax_number": "650-342-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 ELM ST",
            "address_2": "SUITE 212",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940708401",
            "telephone_number": "650-579-0361",
            "fax_number": "650-342-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNER",
        "first_name": "PAMELA",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 19589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.