Stephanie Crouch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW99567 Issued in CA

Practice address

2633 Kellogg CT
Livermore, CA 94550-7364

Phone

(925) 789-7080

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie@bayareatherapyforwellness.com

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.

• Stephanie Crouch LCSW Inc

  • Clinical Social Worker
  • Livermore, CA
  • NPI 1811647092
  NPD Authorized official

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1144620105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 SUNOL BLVD STE 10-546",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 KELLOGG CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507364",
            "telephone_number": "925-789-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie@bayareatherapyforwellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure Mail Box",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5424 Sunol Blvd Ste 10-546",
            "city": "Pleasanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945667705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Suzanne Cox, O.T.
• Patricia Crannell, LMFT
• Patrick C. Creevan, D.D.S.
• Crescent Bloom Doula Services
• Pamela Ann Cross
• Mayte Alondra Cruz
• Jessica Cuellar, PA-C
• Nicole Cunha
• Debbie Louise Curtis, LMFT
• Shari Lynn Curtis, OTR/L

• Clinical Social Worker in Livermore, CA
• Providers in Livermore, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.