Robert Krucek II, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003848A Issued in IN

Practice address

9300 Broadway
Crown Point, IN 46307-9830

Phone

(219) 662-5000

NPI assigned

Feb 10, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1861465650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 JEWETT AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079830",
            "telephone_number": "219-662-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCEK",
        "first_name": "ROBERT",
        "name_suffix": "II",
        "credential": "LCSW,  ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Kralovec, MD
• J. Michael Krischke, D.D.S.
• Alexander C. Kristevski, PSY.D.
• Sylvie Nicole Kristoff, DDS
• Krisvic Health Care Corporation
• John Krug, PT
• Maryanne Krug, PT
• Brenna Krygsheld
• Alexander Kubat, PHARMD
• Donald W Kucharzyk, D.O.

• Clinical Social Worker in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.