Ms. Ellen R Kruger, LICSW
Counselor, Mental Health in Medford, Massachusetts
1053467563- Practice location
- 84 High St, Medford, MA 02155-3844
- Phone
- 781-393-0009
- Fax
- 781-395-2909
- Last updated
- July 8, 2007
Ellen Ruth Kruger is a Counselor, Mental Health based in Medford, MA. Ellen Ruth Kruger practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Ellen Ruth Kruger is 1053467563 and holds a License No. 105528 (MA). The current practice location address for Ellen Ruth Kruger is 84 High St, Medford, MA 02155-3844 and can be reached out via phone at 781-393-0009 and via fax at 781-395-2909.
Provider Profile Details
- NPI Number
- 1053467563
- Provider Name
- Ellen Ruth Kruger
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 84 High St, Medford, MA 02155-3844
- Phone Number
- 781-393-0009
- Fax Number
- 781-395-2909
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 26, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 High St
Medford, MA 02155-3844 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3844
- Phone Number
- 781-393-0009
- Fax Number
- 781-395-2909
Provider Business Mailing Address Details
- Address
- 49 Hammond Pl
Woburn, MA 01801-3415 - City
- Woburn
- State
- MA
- Zip
- 01801-3415
- Phone Number
- 781-932-0559
- Fax Number
- 781-395-2909
License Information
- License Number
- 105528
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Ellen R Kruger, LICSW?
The NPI number of Ms. Ellen R Kruger, LICSW is 1053467563. It was assigned on January 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Ellen R Kruger, LICSW?
Ms. Ellen R Kruger, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 105528.
Where does Ms. Ellen R Kruger, LICSW practice?
The practice location is 84 High St, Medford, MA 02155-3844. The office can be reached at 781-393-0009 (phone) or 781-395-2909 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053467563 directly on the NPPES registry website.