Mimi Kraus, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04177 Issued in MD

Practice address

3506 Gwynnbrook Ave
Owings Mills, MD 21117-1409

Phone

(410) 843-7523

Fax

(410) 665-0115

NPI assigned

Jul 3, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1912937285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 GWYNNBROOK AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171409",
            "telephone_number": "410-843-7523",
            "fax_number": "410-664-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 GWYNNBROOK AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171409",
            "telephone_number": "410-843-7523",
            "fax_number": "410-665-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "MIMI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPPSYCH",
            "identifier": "221856",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11265736",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koval Dentistry Services, P.C.
• Victor Koval, D.D.S.
• Robert K Kraft, PSY.D
• Legend Kranz, LMSW
• Diane Krasna, CRNA
• Eric J. Kraut, M.D.
• Saundra K Krieger, LCSWC
• Morgan Krivak, OTR/L
• Caleb Edward Kroll, M.D.
• Natalie Kroll, LGPC

• Clinical Social Worker in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.