Lily S Krutel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW100095 Issued in CA

Practice address

833 SE Main St # 213
Portland, OR 97214-3454

Phone

(510) 626-0215

NPI assigned

Sep 10, 2014

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 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Merit-based Incentive Payment System (MIPS)

Final score

88.2 of 100Reported as group

Quality

61.12

Promoting interoperability

99

Improvement activities

40

Cost

83.72

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.

• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment NPD
• Flourish Authentically LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1588411060
  NPD Authorized official
• City & County of San Francisco

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
  • NPI 1669802989
  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1881095776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SE MAIN ST.",
            "address_2": "BOX 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143427",
            "telephone_number": "510-626-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SE MAIN ST # 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143454",
            "telephone_number": "510-626-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTEL",
        "first_name": "LILY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LCSW100095",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowell Krusling
• Sia Kruss
• Tova Kruss, MD
• Sandra J Krussel, D.O.
• Moriah Krussow
• Caressa Dawn Kruth
• Anna A Krykun
• Nicole Krzeminski, LPC
• Brenda B Ku, D.C.
• Mi Jung Ku, RN

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.