Amy Lou Kratcoski is a Clinical in Atlanta, Georgia. Amy Lou Kratcoski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Lou Kratcoski is 1366610479. The last update date is 2022-04-14.
Amy Lou Kratcoski's current location address is 2525 Cumberland Pkwy Se, Atlanta, Georgia. You can contact this provider via phone number 7704314100. The mailing address for Amy Lou Kratcoski is 2525 Cumberland Pkwy Se, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Lou Kratcoski |
|---|---|
| Address | 2525 Cumberland Pkwy Se, Atlanta, Georgia |
| Phone Number | 7704314100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1366610479 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2022-04-14 |
Provider Mailing Address Detail
| Address | 2525 Cumberland Pkwy Se |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303393915 |
| Phone Number | 7704314100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003108 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11811153 | CAQH |
Post Comment/ Review Below
What is the unique identification code assigned to Amy Lou Kratcoski by the Centers for Medicare & Medicaid Services?
The Amy Lou Kratcoski has been issued the NPI (National Provider Identifier) 1366610479. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Amy Lou Kratcoski is geographically located?
The Amy Lou Kratcoski is physically situated at the following location: 2525 Cumberland Pkwy Se, Atlanta, GA, 303393915.
What is the Amy Lou Kratcoski's specialty and taxonomy code?
The Amy Lou Kratcoski's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Amy Lou Kratcoski receive its 1366610479 assignment from the Centers for Medicare & Medicaid Services?
The Amy Lou Kratcoski was assigned its 1366610479 on 2008-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Amy Lou Kratcoski, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amy Lou Kratcoski, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-14.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC