Active NPI
John Muzzy Crowl
- Clinical Social Worker
- Santa Maria, CA
National Provider Identifier
1043334113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-12177
- Practice address
- 1550 Main St
Santa Maria, CA 93458 - Phone
- (805) 354-6055
- Fax
- (805) 354-6055
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-12177 | AZ | Primary |
Addresses
Primary practice location
1550 Main St
Santa Maria, CA 93458
Mailing address
PO Box 8051
Santa Maria, CA 93456-8051
Phone (928) 660-9298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-12177 | Other | AZ | BEHAVIORAL HEALTH LICENSU |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-12177 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1043334113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8051",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934568051",
"telephone_number": "928-660-9298",
"fax_number": "928-660-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93458",
"telephone_number": "805-354-6055",
"fax_number": "805-354-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWL",
"first_name": "JOHN",
"middle_name": "MUZZY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-12177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH LICENSU",
"identifier": "LMSW-12177",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.