Krasno, Miriam R.
Krasno, Miriam R. is an sole proprietor health care provider with primary practice located at 5522 Estero Loop , Port Orange FL 32128-0006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Krasno, Miriam R. can be contacted via phone (479) 714-5978.Contact Information
Primary practice address
5522 Estero Loop
Port Orange FL 32128-0006
Phone: (479) 714-5978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW12550 | Florida |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW12550 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.015025 | Illinois |
Profile Details
| NPI number | 1942532684 |
|---|---|
| LBN Legal business name | Krasno, Miriam R. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2010 |
| Last updated | Jan 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942532684 | NPPES |
| Florida | MEDICAID | 024471800 |
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