Krakowski, Timothy James

Krakowski, Timothy James is an individual health care provider with primary practice located at 221 Laurel Rd Ste 1052 , Voorhees NJ 08043. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Krakowski, Timothy James can be contacted via phone (856) 354-0664.

Contact Information

Primary practice address
221 Laurel Rd Ste 1052 Voorhees NJ 08043
Phone: (856) 354-0664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SC05252400 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-0000759 Delaware

Profile Details

NPI number 1962788307
LBN Legal business name Krakowski, Timothy James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Aug 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962788307 NPPES
New Jersey Other 241691CWE MEDICARE PTAN
New Jersey Other 279698ZDVL MEDICARE PTAN

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