Miriam R. Krasno, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015025 Issued in IL

Practice address

5522 Estero Loop
Port Orange, FL 32128-0006

Phone

(479) 714-5978

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1942532684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 ESTERO LOOP",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321280006",
            "telephone_number": "847-971-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 ESTERO LOOP",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321280006",
            "telephone_number": "479-714-5978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5522 Estero Loop",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321280006",
            "country_code": "US",
            "telephone_number": "847-971-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRASNO",
        "first_name": "MIRIAM",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12550",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW12550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024471800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Maria Kozenskie
• Carly Kozikowski
• Caroline Michele Krajewski, PHARM.D.
• Brittany Kramer
• Emily Kranichfield
• Nicole Krout, PTA
• Marc John Kudzol, RPH
• John Kulaga, D.D.S
• Julia Kung
• Erin K Kupps, M.S.

• Clinical Social Worker in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.