Susan Beth Krupp, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17511 Issued in MN

Practice address

7515 Wayzata Blvd
Suite 200
St Louis Park, MN 55426

Phone

(952) 767-5009

Fax

(952) 920-5002

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Beth Krupp Abelson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1376719534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 WAYZATA BLVD",
            "address_2": "SUITE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-767-5009",
            "fax_number": "952-920-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 WAYZATA BLVD",
            "address_2": "SUITE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-767-5009",
            "fax_number": "952-920-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ABELSON",
            "middle_name": "BETH KRUPP",
            "credential": "MSW LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wendy S Kroll, M.D.
• Aidan Elliot Maule Kronmiller, LGSW
• Kerry Louise Krueger
• Seneca June Krueger, B.A.
• Michael James Krumholz, D.D.S.
• Amber Kruse
• Kendra L. Kubiak, M.D.
• Carissa Kucala, AU.D.
• Ciara Kucera
• Elizabeth Maria Kuczynski, CNP

• Clinical Social Worker in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.