Active NPI
Terri D Crawford, MED, LCSW
- Clinical Social Worker
- Springfield, MO
National Provider Identifier
1073509006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002195
- Practice address
- 930 S Robberson Ave
Springfield, MO 65806-3220 - Phone
- (417) 761-5540
- Fax
- (417) 761-5541
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002195 | MO | Primary |
Addresses
Primary practice location
930 S Robberson Ave
Springfield, MO 65806-3220
Mailing address
1300 E Bradford Pkwy
Burrell Behavioral Health
Springfield, MO 65804-4264
Phone (417) 269-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490056355 | Medicaid | MO |
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1073509006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E BRADFORD PKWY",
"address_2": "BURRELL BEHAVIORAL HEALTH",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044264",
"telephone_number": "417-269-5400",
"fax_number": "417-269-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S ROBBERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658063220",
"telephone_number": "417-761-5540",
"fax_number": "417-761-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "TERRI",
"middle_name": "D",
"credential": "MED, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "002195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490056355",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.