Provider Demographics
NPI:1003825357
Name:KRAUSS, JOAN M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:M
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 WINDING CT
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-2010
Mailing Address - Country:US
Mailing Address - Phone:914-245-5039
Mailing Address - Fax:845-628-9527
Practice Address - Street 1:880 S LAKE BLVD
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-4771
Practice Address - Country:US
Practice Address - Phone:914-245-5039
Practice Address - Fax:914-302-6398
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR009652-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical