1093051765 NPI number — DEBBIE CRANE, LCSW-ACSW, PLLC

Table of content: (NPI 1093051765)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093051765 NPI number — DEBBIE CRANE, LCSW-ACSW, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEBBIE CRANE, LCSW-ACSW, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093051765
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 CIRCLE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28207-1403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-562-4344
Provider Business Mailing Address Fax Number:
704-333-6362

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 BESSEMER CITY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GASTONIA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28052-1106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-874-2387
Provider Business Practice Location Address Fax Number:
704-854-3179
Provider Enumeration Date:
12/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CRANE
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
HERMAN
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
704-562-4344

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C00-1582 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2860189 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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