Krystle Kilcrease

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025496 Issued in PA

Practice address

27A Pine CV
Mount Laurel, NJ 08054-2824

Phone

(267) 422-2812

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1659033280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27A PINE CV",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542824",
            "telephone_number": "267-422-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27A PINE CV",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542824",
            "telephone_number": "267-422-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Conshohocken Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191315539",
            "country_code": "US",
            "telephone_number": "267-422-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILCREASE",
        "first_name": "KRYSTLE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025496",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danial Khalifa, DPM
• Munaza Anwar Khan, MD
• Sophia S Khan, M.D
• Zubair Khan, D.O.
• KHSR Enterprises LLC
• Nursen Kilic, LAC
• Alyssa Killion, APN
• Blake Kilvington
• Byong Jin Kim, D.M.D.
• Daniel Kim

• Clinical Social Worker in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.