Individual provider Active NPI

Jason Marc Kraman, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1306301106
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
134870 Issued in PA
Practice address
1021 S 21St St Ste 2
Philadelphia, PA 19146-2634
Phone
(215) 790-9943
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134870 PA Primary

Addresses

Primary practice location

1021 S 21St St Ste 2
Philadelphia, PA 19146-2634

Mailing address

2424 Montrose St
Philadelphia, PA 19146-2427
Phone (610) 310-6224

Other practice location 1

525 S 4th St Ste 471
Philadelphia, PA 19147-1582
Phone (267) 861-3685

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
134870PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibria Mental Health Services CurrentSince Oct 31, 2021 Accepting new patients

Locations

1516 N 5th St
Unit 401
Philadelphia, PA 19122

525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1306301106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MONTROSE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462427",
            "telephone_number": "610-310-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 21ST ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462634",
            "telephone_number": "215-790-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 S 4th St Ste 471",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191471582",
            "country_code": "US",
            "telephone_number": "267-861-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMAN",
        "first_name": "JASON",
        "middle_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "134870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.