Camden Krusec, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024828 Issued in IL

Practice address

1607 W Howard St
Chicago, IL 60626-1675

Phone

(773) 508-6100

NPI assigned

Nov 2, 2022

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

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1679280309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N ALBANY AVE APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477490",
            "telephone_number": "616-648-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W HOWARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261675",
            "telephone_number": "773-508-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSEC",
        "first_name": "CAMDEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rae Krupp, PT, DPT
• Ewelina Dorota Kruppik, MA
• Elizabeth Marie Kruse, MD
• Lacey Kruse, MD
• Timothy Stephen Kruse, DPM
• Sara T Krusenoski
• Lafonte' Cherie Krushall, DMD
• Mykhaylo D Krushelnytskyy
• Kelly Kruszewski, MS, RDN, LDN
• Petra Krutilova, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.