Individual provider Active NPI

William David Krieger, PHD, MSW, LCSW ACSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1821487935
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10845 Issued in FL
Practice address
2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Phone
(954) 731-5100
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW10845 FL
Clinical Social Worker 1041C0700X SW10845 FL Primary

Addresses

Primary practice location

2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519

Mailing address

2881 E Oakland Park Blvd Ste 305
Fort Lauderdale, FL 33306-1813
Phone (954) 478-2902

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW10845FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Behavioral Health, Inc. PastSince Dec 1, 2020 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Dec 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1821487935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 E OAKLAND PARK BLVD STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061813",
            "telephone_number": "954-478-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W PROSPECT RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092519",
            "telephone_number": "954-731-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PHD, MSW, LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW10845",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.