Individual provider Active NPI

Elizabeth Ann Crew, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1124268636
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09927417 Issued in CO
Practice address
200 S Sherman St
Denver, CO 80209-1621
Phone
(303) 884-1959
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001693 CO
Clinical Social Worker 1041C0700X CSW.09927417 CO Primary

Addresses

Primary practice location

200 S Sherman St
Denver, CO 80209-1621

Mailing address

200 S Sherman St
Denver, CO 80209-1621
Phone (303) 398-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20210720001183 CO Practitioner - Clinical Social Worker 1052714631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fidelity Behavioral Health LLCGroup PAC ID 4385127489, 3 clinicians

Practice addresses (Care Compare)

Westminster, CO 80031
Phone (303) 875-7287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
ACD.0001693COMDAddiction (Substance Use Disorder) Counselor
CSW.09927417COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelity Behavioral Health LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1124268636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091621",
            "telephone_number": "303-398-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091621",
            "telephone_number": "303-884-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREW",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.