MEDICARE: MR. ANDREW KRUPPA MSW, LSW, LICDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.2106198	OH

General Provider Information

NPI Number	:	1437787538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW KRUPPA MSW, LSW, LICDC

Provider Business Mailing Address
First Line	:	4844 BELLANN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-5506
Country	:	US
Telephone Number	:	614-916-9529
Fax Number	:	614-591-3769

Provider Business Practice Location Address
First Line	:	3520 SNOUFFER RD STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-3712
Country	:	US
Telephone Number	:	614-916-9529
Fax Number	:	614-591-3769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	10/13/2025

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