Doctor Name: | MR. DAVID B KRATKA |
NPI Number: | 1356475677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., L.C.S.W. |
License Number: | 44SC00856300 |
Business Practice Address: | 300 W Main St Rockaway, NJ - 078663309 |
Business Phone Number: | 9739841747 |
Business Fax Number: | |
Mailing Address: | 48 Court St, Apt. 4c MORRISTOWN |
State: | NJ |
Postal Code: | 079605151 |
Phone Number: | 9739841747 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00856300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |