MEDICARE: PROF. DARIAN ASHLEY KRASNER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	171M00000X	Case Manager/Care Coordinator
3	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1245975788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. DARIAN ASHLEY KRASNER

Provider Business Mailing Address
First Line	:	2700 ERNEST ST APT 331G
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-8478
Country	:	US
Telephone Number	:	228-546-8737
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 ERNEST ST APT 331G
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-8478
Country	:	US
Telephone Number	:	228-546-8737
Fax Number	:

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

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	05/26/2026

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