Organization Active NPI

Debbie Crane, LCSW-Acsw, PLLC

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1093051765
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C00-1582 Issued in NC
Legal business name
DEBBIE CRANE, LCSW-ACSW, PLLC
Practice address
1301 Bessemer City Rd
Gastonia, NC 28052-1106
Phone
(704) 874-2387
Fax
(704) 854-3179
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Mrs. Debbie Herman Crane
Title
Director
Phone
(704) 562-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C00-1582 NC Primary

Addresses

Primary practice location

1301 Bessemer City Rd
Gastonia, NC 28052-1106

Mailing address

315 Circle Ave
Charlotte, NC 28207-1403
Phone (704) 562-4344

Other identifiers 1

IdentifierTypeStateIssuer
2860189MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1093051765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CIRCLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071403",
            "telephone_number": "704-562-4344",
            "fax_number": "704-333-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BESSEMER CITY RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521106",
            "telephone_number": "704-874-2387",
            "fax_number": "704-854-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE CRANE, LCSW-ACSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-562-4344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C00-1582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860189",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.