Constance G Krell, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

50 N Miller Rd
Fairlawn Family Practice
Fairlawn, OH 44333-3702

Phone

(330) 836-9721

Fax

(330) 836-9627

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Summit Behavioral Health Group, Inc.

  • Psychiatry Physician
  • Fairlawn, OH
  • NPI 1184710394
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1265591119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "address_2": "FAIRLAWN FAMILY PRACTICE",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "address_2": "FAIRLAWN FAMILY PRACTICE",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRELL",
        "first_name": "CONSTANCE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Krakora, APRN, PMHNP
• Ilana Kari Kramer, DDS
• Valerie Ann Lamberton Kreider, PCC/S, LICDC
• Lynette Marie Kreidler, LPCC
• Michelle Kreidler
• John C Kromalic, DO
• Ana E Kromhout, DDS
• Kimberly Krueger
• Nichole Lynn Kuchta, PT, DPT
• Kimberly R Kuhn, MS, ATC

• Clinical Social Worker in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.