CONNIE R KRUG (NPI# 1245711845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245711845 |
| Entity Type | Individual |
| Full Name | CONNIE R KRUG |
| Credential | LCSW |
| Practice Address |
16 E Route 66 Ste 203 Flagstaff AZ 86001-5777 |
| Mailing Address |
2845 N Prescott Rd Flagstaff AZ 86001-1077 |
| Practice Telephone | 9288463342 |
| Mailing Telephone | 9288463342 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-16878 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
16 E ROUTE 66 STE 203 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-5777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1790258127 | Shawnee Mcdowell | Social Worker | 2604 N Fox Run Dr, Flagstaff, AZ 86004-7682 | 2019-01-08 |
| 1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
| 1437640638 | Craig A Davis Lcsw Pllc | Social Worker | 2150 N Rio De Flag Dr, Flagstaff, AZ 86004-7503 | 2018-05-23 |
| 1457850984 | Marjolein Sieczkowski | Social Worker | 125 E Elm Ave Ste 203, Flagstaff, AZ 86001-3261 | 2018-02-10 |
| 1639414964 | Ronald Evan Paul | Social Worker | 2813 N Jamison Blvd, Flagstaff, AZ 86004-3814 | 2012-11-27 |
| 1508114919 | Rhonda Lynn Barnes | Social Worker | 4770 Camino De Los Vientos, Flagstaff, AZ 86004-0901 | 2012-08-16 |
| 1053538603 | Cherise Elizabeth Grimit Hovis | Social Worker | 6145 E Treadway Trl, Flagstaff, AZ 86004-1038 | 2007-04-18 |
| 1346306933 | Caecilia M Winnubst | Social Worker | 652 N Amberwood St, Flagstaff, AZ 86004-5805 | 2006-12-28 |
| 1659431328 | Nicolette Suzanne Sachs | Social Worker | 2323 E Greenlaw Ln, Suite 10, Flagstaff, AZ 86004-1810 | 2006-12-11 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.