David Robert Krenrick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0001733 Issued in OH

Practice address

1221 S Trimble Rd BLDG C
Mansfield, OH 44907-2200

Phone

(419) 605-9817

NPI assigned

Sep 28, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope419, LLC

  dba Hope419

  • Psychiatry Physician
  • Ontario, OH
  • NPI 1184375628
  NPD (past)
• Hope419, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Ontario, OH
  • NPI 1750990438
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639261845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 RITTER RD",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448138801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S TRIMBLE RD BLDG C",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072200",
            "telephone_number": "419-605-9817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Scholl Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071571",
            "country_code": "US",
            "telephone_number": "419-756-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRENRICK",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0001733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000219428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdul Salam Koroma
• Megan Kostelnik
• Keith Andrew Kovacs, R.PH.
• Gregory R Krall, RPH
• Madelin Elizabeth Kreinbrink, CNP
• Matti Krispinsky, CNP
• Meredith L Kromer-Edwards, AU.D
• Nora Kron
• Aric Anthony Kuehner, D.D.S.
• Makayla D. Kuhlman

• Clinical Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.