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NPI Code Detail

MEDICARE: SUSAN KRAUS LISW-CP

MEDICARE:   SUSAN  KRAUS  LISW-CP
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
1101Y00000XCounselor11519SC
21041C0700XClinical Social Worker11519SC
3101Y00000XCounselor

General Provider Information

NPI Number : 1790303923
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN KRAUS LISW-CP
Provider Business Mailing Address
First Line : 1032 ALGONQUIN DR.
Second Line : 963-H
City : PAWLEYS ISLAND
State : SC
Zip : 29585
Country : US
Telephone Number : 239-450-2294
Fax Number : 843-692-1409
Provider Business Practice Location Address
First Line : 1032 ALGONQUIN DR.
Second Line : 963-H
City : PAWLEYS ISLAND
State : SC
Zip : 29585
Country : US
Telephone Number : 239-450-2294
Fax Number : 843-692-1409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2020
Last Update Date : 07/04/2025

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Directions to “ SUSAN KRAUS LISW-CP” Practice Location

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