Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Elizabeth Krusac

Individual provider Mental Health Counselor · NPI 1003578253

Mary Elizabeth Krusac is a Clinical Social Worker in Dallas, Georgia. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

118 Birch River Ct
Dallas, GA 30132-5575
Phone: (678) 744-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMSW008594 (GA)

Record details

NPI number1003578253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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