Provider Demographics
NPI:1275148801
Name:KRAUS, BARI SUSAN (MSW, LISW, LCSW)
Entity Type:Individual
Prefix:
First Name:BARI
Middle Name:SUSAN
Last Name:KRAUS
Suffix:
Gender:F
Credentials:MSW, LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 EDEN WAY N STE 109
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2776
Mailing Address - Country:US
Mailing Address - Phone:757-785-5540
Mailing Address - Fax:
Practice Address - Street 1:1021 EDEN WAY N STE 109
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2776
Practice Address - Country:US
Practice Address - Phone:757-785-5540
Practice Address - Fax:757-410-0223
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.2204088101YM0800X
VA0904014759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health