Provider Demographics
NPI:1528483088
Name:KRYCH, DAVID (LCSW, SACIT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KRYCH
Suffix:
Gender:M
Credentials:LCSW, SACIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4722 ACADEMY DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-1450
Mailing Address - Country:US
Mailing Address - Phone:608-215-5277
Mailing Address - Fax:
Practice Address - Street 1:4722 ACADEMY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-1450
Practice Address - Country:US
Practice Address - Phone:608-215-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3003-123101YA0400X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)