Organization Active NPI

Erin Krajcik PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1275964231
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088977 Issued in MI
Legal business name
ERIN KRAJCIK PLLC
Practice address
2301 Packard St
2ND Floor
Ann Arbor, MI 48104
Phone
(734) 834-9997
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Erin Krajcik, LMSW, CAADCNPI 1184916512
Title
Therapist
Phone
(734) 891-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6801088977 MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801088977 MI Primary

Addresses

Primary practice location

2301 Packard St
2ND Floor
Ann Arbor, MI 48104

Mailing address

921 Westwood Ave
Ann Arbor, MI 48103
Phone (734) 834-9997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326002344 MI Part B Supplier - Clinic/Group Practice 6103057625 Receives reassigned benefits from 1 practitioner
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

878 Grove Rd
Ypsilanti, MI 48198
Phone (734) 904-0626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1275964231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WESTWOOD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-834-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PACKARD ST",
            "address_2": "2ND FLOOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-834-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN KRAJCIK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "KRAJCIK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "734-891-0024",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801088977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.