Active NPI
Stephanie M Krotick, MSW LICSW BCD
- Clinical Social Worker
- Braintree, MA
National Provider Identifier
1982760765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106200
- Practice address
- 161 Forbes Road
Ste 107
Braintree, MA 02184 - Phone
- (781) 849-6176
- Fax
- (781) 849-1998
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106200 | MA | Primary |
Addresses
Primary practice location
161 Forbes Road
Ste 107
Braintree, MA 02184
Mailing address
161 Forbes Road
Ste 107
Braintree, MA 02184
Phone (781) 849-6176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KRP03883 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120723000291 | MA | Practitioner - Clinical Social Worker | 1052577996 | Practice locations: Braintree, MA; Newton Highlands, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
161 Forbes Rd
Suite 107
Braintree, MA 02184-2628
Phone 78184961761
30 Lincoln St
2ND Floor
Newton Highlands, MA 02461-1605
Phone (781) 849-6176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982760765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 FORBES ROAD",
"address_2": "STE 107",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-849-6176",
"fax_number": "781-849-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORBES ROAD",
"address_2": "STE 107",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "02184",
"telephone_number": "781-849-6176",
"fax_number": "781-849-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROTICK",
"first_name": "STEPHANIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW LICSW BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "KRP03883",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.