Kelly Kravchuk, MSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

133376 Issued in CA

Practice address

13101 W Washington Blvd
Los Angeles, CA 90066-5131

Phone

(310) 890-1653

NPI assigned

Oct 13, 2025

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1891661294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S BUNDY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665131",
            "telephone_number": "310-890-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVCHUK",
        "first_name": "KELLY",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Krauss
• Sofiya Krauss, AUD
• Jeffrey Alan Kraut, MD
• Nicole Elizabeth Krauthamer, LMFT
• Mayya Kravchenko, DC
• Anthony Kravitz, OD
• Dvora Kravitz, LMFT
• Julia Kravitz
• Alexander Krawec
• Debra Kray, PT

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.