Individual provider Active NPI

Karen Kruzan, LISW-S

  • Clinical Social Worker
  • Powell, OH
National Provider Identifier
1356606040
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0005036 Issued in OH
Practice address
97 S Liberty St
Powell, OH 43065-9301
Phone
(614) 795-0626
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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 I-0005036 OH Primary

Addresses

Primary practice location

97 S Liberty St
Powell, OH 43065-9301

Mailing address

6525 Winston CT E
Columbus, OH 43235-2847
Phone (614) 795-0626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180108002595 OH Practitioner - Clinical Social Worker 5991064495 Reassigns benefits to 1 organization
I20190730001702 OH Practitioner - Clinical Social Worker 5991064495 Practice locations: Powell, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

161 S Liberty St
Powell, OH 43065-7619
Phone (614) 795-0626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0005036OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dennison & Associates Inc. Clinical CurrentSince Nov 1, 2017 Accepting new patients
K2 Organizing PastSince Oct 10, 2007 Accepting new patients

Locations

161 S Liberty St
Powell, OH 43065
Phone (614) 446-0225

Organizations & group practices 2

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1356606040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 WINSTON CT E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352847",
            "telephone_number": "614-795-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659301",
            "telephone_number": "614-795-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZAN",
        "first_name": "KAREN",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.