MEDICARE: MS. ELIZABETH KRACHMAN

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	44SL07349500	NJ

General Provider Information

NPI Number	:	1760330989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH KRACHMAN

Provider Business Mailing Address
First Line	:	110 BALFOUR AVE
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-2305
Country	:	US
Telephone Number	:	609-289-9549
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 BETHEL RD
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-2189
Country	:	US
Telephone Number	:	609-788-4698
Fax Number	:

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

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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