Diane Elizabeth Kragt, LISW
Individual provider Active NPI Social Worker · Cleveland, OH
NPI 1659865871 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1659865871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- I-0008130 (OH)
- Practice address
- 7200 Franklin Blvd Apt 100
Cleveland, OH 44102-2983 - Phone
- (216) 961-1568
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-0008130 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I-0008130 | OH | Yes |
Addresses
Primary practice location
7200 Franklin Blvd Apt 100
Cleveland, OH 44102-2983
Mailing address
7200 Franklin Blvd Apt 100
Cleveland, OH 44102-2983
Phone (216) 961-1568
Other practice location 1
4115 Bridge Ave
Cleveland, OH 44113-3304
Phone (216) 631-5800
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.