Individual provider · NPI-1
Katherine A Crank, LSW
Social Worker · Southampton, NJ
NPI number1346931631
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1346931631
- Entity type
- Individual (NPI-1)
- Name
- Katherine A Crank
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 44SL06936300 | NJ | Yes |
Practice location
209 New Freedom RdSouthampton, NJ 08088-2803
Phone 201-691-8322
Mailing address
1296 Broad StreetP.O. Box 1291
Bloomfield, NJ 07003-1291
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.