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NPI Code Detail

MEDICARE: JULIE KATHLEEN KRUPACS LCSW

MEDICARE: JULIE KATHLEEN KRUPACS LCSW
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
11041C0700XClinical Social Worker0904014177VA

General Provider Information

NPI Number : 1558096503
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KATHLEEN KRUPACS LCSW
Provider Business Mailing Address
First Line : 600 BANCROFT AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23222-2811
Country : US
Telephone Number : 804-822-5780
Fax Number :
Provider Business Practice Location Address
First Line : 6200 LAKESIDE AVE
Second Line :
City : HENRICO
State : VA
Zip : 23228-5248
Country : US
Telephone Number : 804-822-5780
Fax Number : 804-257-7109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2022
Last Update Date : 04/25/2025

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