Individual provider Active NPI

Grete Kraus, LMSW

  • Social Worker
  • West Islip, NY
National Provider Identifier
1710779475
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
124846-01 Issued in NY
Practice address
90 Higbie LN
West Islip, NY 11795-3923
Phone
(631) 587-5172
Fax
(631) 661-2973
NPI assigned
May 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 124846-01 NY Primary

Addresses

Primary practice location

90 Higbie LN
West Islip, NY 11795-3923

Mailing address

PO Box 105
West Islip, NY 11795-0105
Phone (631) 587-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124846-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Islip Youth Enrichment Services Incorporated PastSince May 25, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1710779475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117950105",
            "telephone_number": "631-587-5172",
            "fax_number": "631-661-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953923",
            "telephone_number": "631-587-5172",
            "fax_number": "631-661-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "GRETE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124846-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.