1326080136 NPI number — MR. JEFFREY STEWART CROUCH LCSW-C

Table of content: MR. JEFFREY STEWART CROUCH LCSW-C (NPI 1326080136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326080136 NPI number — MR. JEFFREY STEWART CROUCH LCSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CROUCH
Provider First Name:
JEFFREY
Provider Middle Name:
STEWART
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C
Provider Gender Code:
M

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:
1326080136
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10632 LITTLE PATUXENT PKWY
Provider Second Line Business Mailing Address:
SUITE 313
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-3273
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-538-1247
Provider Business Mailing Address Fax Number:
410-740-2421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10632 LITTLE PATUXENT PKWY
Provider Second Line Business Practice Location Address:
SUITE 313
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044-3273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-538-1247
Provider Business Practice Location Address Fax Number:
443-276-6640
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  06143 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 104100000X , with the licence number: 06143 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 215051400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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