Individual provider Active NPI

Kevin Andrew Kraska, MSW, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1598786980
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I7503-OH Issued in OH
Practice address
24 E Weber Rd
Columbus, OH 43202-1448
Phone
(614) 470-2185
Fax
(614) 470-2185
NPI assigned
Jul 21, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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 I7503-OH OH Primary

Addresses

Primary practice location

24 E Weber Rd
Columbus, OH 43202-1448

Mailing address

111 Garden Rd
Columbus, OH 43214-2157
Phone (614) 470-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000270 OH Practitioner - Clinical Social Worker 5496943482 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Garden Rd
Columbus, OH 43214-2157
Phone (614) 470-2185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I7503-OHOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1598786980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GARDEN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142157",
            "telephone_number": "614-470-2185",
            "fax_number": "614-470-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E WEBER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021448",
            "telephone_number": "614-470-2185",
            "fax_number": "614-470-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASKA",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7503-OH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.