Individual provider Active NPI

Julie Krug, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1275549255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC052023 Issued in NJ
Practice address
1301 Springdale Rd
Suite #150
Cherry Hill, NJ 08003-2763
Phone
(856) 424-1333
Fax
(856) 424-7384
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SC052023 NJ Primary

Addresses

Primary practice location

1301 Springdale Rd
Suite #150
Cherry Hill, NJ 08003-2763

Mailing address

1301 Springdale Rd
Suite #150
Cherry Hill, NJ 08003-2763
Phone (856) 424-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC052023NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275549255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD",
            "address_2": "SUITE #150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333",
            "fax_number": "856-424-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD",
            "address_2": "SUITE #150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333",
            "fax_number": "856-424-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC052023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.