Active NPI
Lara Rogers Krawchuk, MSW LSW MPH
- Social Worker
- Concordville, PA
National Provider Identifier
1881854917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW122473
- Practice address
- 9 Lacrue Ave
#6
Concordville, PA 19331 - Phone
- (610) 558-4060
- NPI assigned
- Jun 12, 2008
- Last updated
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW122473 | PA | Primary |
Addresses
Primary practice location
9 Lacrue Ave
#6
Concordville, PA 19331
Mailing address
9 Lacrue Avenue
Concordville, PA 19331
Phone (610) 558-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2023 through Dec 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW122473 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1881854917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LACRUE AVENUE",
"city": "CONCORDVILLE",
"state": "PA",
"postal_code": "19331",
"telephone_number": "610-558-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LACRUE AVE",
"address_2": "#6",
"city": "CONCORDVILLE",
"state": "PA",
"postal_code": "19331",
"telephone_number": "610-558-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCHUK",
"first_name": "LARA",
"middle_name": "ROGERS",
"name_prefix": "Mrs.",
"credential": "MSW LSW MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW122473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concordville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.