Debra Kay Kratz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11225 Issued in MN

Practice address

2127 County Road D E Ste A100
Maplewood, MN 55109-5350

Phone

(651) 592-1592

Fax

(651) 429-2988

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Counseling, P.a.Group PAC ID 6608048541, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeast Counseling, P.a.

  • Adolescent and Children Mental Health Clinic/Center
  • Maplewood, MN
  • NPI 1053596577
  Medicare reassignment Care Compare group NPD
• Clayton D. Sankey Licsw, LLC

  • Clinical Social Worker
  • Maplewood, MN
  • NPI 1023097185
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1811031180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095350",
            "telephone_number": "651-592-1592",
            "fax_number": "651-429-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095350",
            "telephone_number": "651-592-1592",
            "fax_number": "651-429-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZ",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MINNESOTA",
            "identifier": "193P9KR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315479300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Jolie Kopp, MS, LPCC
• Rahul Koranne, MD
• Olivia Korngable, PT, DPT
• Peter James Kowalkowski, P.T.
• Mackaulie Krantz, MS, CRC
• Amy L Kraus, MD
• Bianca Krause
• John Francis Krawczyk, DDS
• John Thomas Krier, PHARM.D.
• Abby Rae Krikac

• Clinical Social Worker in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.

Verify at the official NPI Registry.