Active NPI
Gordon Krantz
- Social Worker
- Salem, MA
National Provider Identifier
1710208277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 217 Essex St
Salem, MA 01970-3728 - Phone
- (207) 615-3700
- NPI assigned
- Jun 18, 2010
- Last updated
- Oct 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
217 Essex St
Salem, MA 01970-3728
Mailing address
45 Garden Rd Apt G
Peabody, MA 01960-3039
Phone (207) 615-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150428001572 | MA | Practitioner - Clinical Social Worker | 3577882448 | Practice locations: Salem, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
217 Essex St
Salem, MA 01970-3728
Phone (207) 615-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1710208277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 GARDEN RD APT G",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603039",
"telephone_number": "207-615-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 ESSEX ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019703728",
"telephone_number": "207-615-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANTZ",
"first_name": "GORDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.