Samuel Krulewitch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11139 Issued in OR

Practice address

1732 SE Ash St
Portland, OR 97214-1526

Phone

(503) 200-8350

NPI assigned

Mar 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sam Krulewitch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1205368461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141526",
            "telephone_number": "503-200-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141526",
            "telephone_number": "503-200-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULEWITCH",
        "first_name": "SAMUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11139",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "KRULEWITCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Fern Kruger, PT
• Kristine A Kruger, MD
• Mandy Lynn Kruger, LMT
• Viktoriya Krughkov
• Harry Scott Krulewitch, MD
• Veronica Elise Krull, MD
• Patrick Martin Krum, CRNA
• Robert Krum, M.D.
• Emily Christine Krump, R.N.
• Roger Krupetsky

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.