Active NPI
Keith Wilson Kratz
- Social Worker
- Emmaus, PA
National Provider Identifier
1275350787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW142904
- Practice address
- 3835 Chestnut St.
Emmaus, PA 18049 - Phone
- (484) 232-5288
- Fax
- (570) 392-6143
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 | SW142904 | PA | Primary |
Addresses
Primary practice location
3835 Chestnut St.
Emmaus, PA 18049
Mailing address
3835 Chestnut St.
Emmaus, PA 18049
Phone (484) 232-5288
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW142904 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Geropsych, LLC | Current | Accepting new patients |
Locations
3835 Chestnut St
Emmaus, PA 18049
Phone (484) 232-5288
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1275350787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 CHESTNUT ST.",
"city": "EMMAUS",
"state": "PA",
"postal_code": "18049",
"telephone_number": "484-232-5288",
"fax_number": "570-392-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 CHESTNUT ST.",
"city": "EMMAUS",
"state": "PA",
"postal_code": "18049",
"telephone_number": "484-232-5288",
"fax_number": "570-392-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZ",
"first_name": "KEITH",
"middle_name": "WILSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW142904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emmaus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.