Trudy Smith Crow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2500C Issued in AR

Practice address

207 Frankie LN
White Hall, AR 71602-2683

Phone

(870) 209-6804

NPI assigned

Sep 10, 2007

Last updated

Dec 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Arkansas Behavioral Healthcare System IncGroup PAC ID 0042292674, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1457398547
  Medicare reassignment Care Compare group
• Life Is Beautiful Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Hall, AR
  • NPI 1083269104
  Authorized official Same address or phone
• BHC Pinnacle Pointe Hospital LLC

  dba Pinnacle Pointe Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)
• BHC Pinnacle Pointe Hospital, Inc.

  dba The Pointe Outpatient Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • White Hall, AR
  • NPI 1649542366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1043405392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022683",
            "telephone_number": "870-209-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022683",
            "telephone_number": "870-209-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "TRUDY",
        "middle_name": "SMITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2500C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116378726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Clifton, MHPP
• Rhonda Coleman, DNP, APRN
• Tarissa Correll, MHPP
• Olivia Crater, QBHP
• Toby Crow, RN, BSN, CCM
• Teshara Crumpton, PLMSW
• Tonia Crumpton, MHPP
• Daily Dose Drugstore LTC
• Daily Dose Drugstore, Inc.
• Chancey Dale, PLMSW

• Clinical Social Worker in White Hall, AR
• Providers in White Hall, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.