Provider Demographics
NPI:1356585806
Name:JOHNSON-KRUMM, CAROL ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:JOHNSON-KRUMM
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 1:615 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-2705
Mailing Address - Country:US
Mailing Address - Phone:302-249-5240
Mailing Address - Fax:
Practice Address - Street 1:615 NORTH ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-2705
Practice Address - Country:US
Practice Address - Phone:302-245-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00014211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical