Timothy James Krakowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000759 Issued in DE

Practice address

221 Laurel Rd Ste 1052
Voorhees, NJ 08043

Phone

(856) 354-0664

NPI assigned

Oct 31, 2011

Last updated

Aug 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Annette's Haven

  • Clinical Social Worker
  • Middletown, DE
  • NPI 1700923653
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1962788307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD STE 105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438301",
            "telephone_number": "856-354-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD STE 1052",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-354-0664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Passmore Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198031548",
            "country_code": "US",
            "telephone_number": "302-478-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 S Laurel St",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083021945",
            "country_code": "US",
            "telephone_number": "856-378-7292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKOWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05252400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "241691CWE",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "279698ZDVL",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kostelnik Kovalchik
• Julie Kowalski
• Stephanie Kownacki, COTA
• Kellie Kozak, PA-C
• Leanna Marie Kragenbrink, DO, MS
• Alan D Kramer, MD
• Neil R Kramer, MD
• Rachel L. Kramer, M.D.
• Jayram Krishnan, D.O., M.B.A.
• Daniel Alexander Kryzanekas II

• Clinical Social Worker in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.