Individual provider Active NPI

Anna Kujacznski Crahan, MSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1528713658
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851109817 Issued in MI
Practice address
1903 W Michigan Ave
Kalamazoo, MI 49008-5200
Phone
(269) 387-1850
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 6851109817 MI Primary

Addresses

Primary practice location

1903 W Michigan Ave
Kalamazoo, MI 49008-5200

Mailing address

4666 Ravine Rd
Kalamazoo, MI 49006-1042
Phone (269) 251-1850

Other names 1

  • Anna Marguerite Kujacznski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PointandClickEMR WESTERN MICHIGAN UNIVERSITY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851109817MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1528713658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 RAVINE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061042",
            "telephone_number": "269-251-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085200",
            "telephone_number": "269-387-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAHAN",
        "first_name": "ANNA",
        "middle_name": "KUJACZNSKI",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PointandClickEMR",
            "affiliation": "Y",
            "affiliationName": "WESTERN MICHIGAN UNIVERSITY",
            "address_1": "1903 W Michigan Ave",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490085200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KUJACZNSKI",
            "middle_name": "MARGUERITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.