Susan Kruk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW007328L Issued in PA

Practice address

2061 Fairview Ave
2ND. Floor
Easton, PA 18042-3953

Phone

(610) 923-0411

Fax

(610) 923-5188

NPI assigned

May 16, 2006

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1902857576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "address_2": "2ND FLOOR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423953",
            "telephone_number": "610-923-0411",
            "fax_number": "610-923-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "address_2": "2ND. FLOOR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423953",
            "telephone_number": "610-923-0411",
            "fax_number": "610-923-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUK",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW007328L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Kramer
• Janelle Diana Krannich, LAC
• Jennah Lynn Krause, DO
• Mahesh Krishnamurthy, MD
• Vishal Krishnan
• Brooke D Kruman, OD
• Joseph Thomas Krutsick, D.M.D.
• Jyothi B Kudakandira, M.D
• Christopher Stuart Kulp
• Bethanie Jones Kuna, PA-C

• Clinical Social Worker in Easton, PA
• Providers in Easton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.