Active NPI
Patricia Kruglak, LCSW
- Clinical Social Worker
- Northampton, MA
National Provider Identifier
1528309721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 217725
- Practice address
- 10 Bright St
FL 1
Northampton, MA 01060-2202 - Phone
- (413) 314-2111
- NPI assigned
- Mar 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 217725 | MA | Primary |
Addresses
Primary practice location
10 Bright St
FL 1
Northampton, MA 01060-2202
Mailing address
10 Bright St
FL 1
Northampton, MA 01060-2202
Phone (413) 314-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150115001807 | MA | Practitioner - Clinical Social Worker | 3971827239 | Practice locations: Northampton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
78 Main St
Suite 209
Northampton, MA 01060-3111
Phone (413) 314-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217725 | MA | MD | Clinical & Laboratory Dermatological Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1528309721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRIGHT ST",
"address_2": "FL 1",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602202",
"telephone_number": "413-314-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRIGHT ST",
"address_2": "FL 1",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602202",
"telephone_number": "413-314-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGLAK",
"first_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "217725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.