Active NPI
Jessica A Crowder, MSW
- Social Worker
- Summersville, WV
National Provider Identifier
1013221530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00942205
- Practice address
- 1305 Webster Rd
Summersville, WV 26651-1125 - Phone
- (304) 872-6503
- Fax
- (304) 872-5415
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00942205 | WV | Primary |
Addresses
Primary practice location
1305 Webster Rd
Summersville, WV 26651-1125
Mailing address
1305 Webster Road
Summersville, WV 26651
Phone (304) 872-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00942205 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1013221530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WEBSTER ROAD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "26651",
"telephone_number": "304-872-6503",
"fax_number": "304-872-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WEBSTER RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511125",
"telephone_number": "304-872-6503",
"fax_number": "304-872-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00942205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.