Individual provider Active NPI

Arthur Mark Krasilovsky, MSSA, LCSW, CEAP

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1760601124
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003794 Issued in GA
Practice address
389 Ormond St SE
Atlanta, GA 30315-2053
Phone
(404) 558-7293
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003794 GA Primary

Addresses

Primary practice location

389 Ormond St SE
Atlanta, GA 30315-2053

Mailing address

389 Ormond St SE
Atlanta, GA 30315-2053
Phone (404) 558-7293

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
CSW003794GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KLS Counseling LLC Past 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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1760601124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ORMOND ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152053",
            "telephone_number": "404-558-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ORMOND ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152053",
            "telephone_number": "404-558-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASILOVSKY",
        "first_name": "ARTHUR",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MSSA, LCSW, CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.