Individual provider Active NPI

Erin Holleman Crumpler, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1154060507
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019211 Issued in NC
Practice address
1540 Purdue Dr Ste 100
Fayetteville, NC 28303-5509
Phone
(910) 900-4660
Fax
(910) 635-0960
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C019211 NC Primary

Addresses

Primary practice location

1540 Purdue Dr Ste 100
Fayetteville, NC 28303-5509

Mailing address

1540 Purdue Dr Ste 100
Fayetteville, NC 28303-5509
Phone (910) 900-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251120003308 NC Practitioner - Clinical Social Worker 9931691680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019211NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical CurrentSince Nov 6, 2025 Accepting new patients
A New Leaf Therapeutic Services, PLLC Clinical CurrentSince Apr 13, 2025 Accepting new patients
Pride in North Carolina, LLC CurrentSince Nov 6, 2025 Accepting new patients

Locations

920 Cambridge St
Fayetteville, NC 28303
Phone (910) 493-3555

1540 Purdue Dr
Ste 100
Fayetteville, NC 28303
Phone (910) 900-0466

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

Organizations & group practices 3

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1154060507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PURDUE DR STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035509",
            "telephone_number": "910-900-4660",
            "fax_number": "910-635-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PURDUE DR STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035509",
            "telephone_number": "910-900-4660",
            "fax_number": "910-635-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "ERIN",
        "middle_name": "HOLLEMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.