Jessica Nichole Crowe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008985 Issued in NC

Practice address

9541 Julian Clark Ave Ste 106B
Huntersville, NC 28078-3485

Phone

(828) 273-8108

Fax

(704) 582-6207

NPI assigned

Sep 24, 2014

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Aniwaya Counseling PLLC

  • Clinical Social Worker
  • Huntersville, NC
  • NPI 1811531429
  Authorized official Same address or phone

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1164824843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 KIPLING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125332",
            "telephone_number": "828-273-8108",
            "fax_number": "704-582-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JULIAN CLARK AVE STE 106B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783485",
            "telephone_number": "828-273-8108",
            "fax_number": "704-582-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164824843",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "address_1": "202 S Old Statesville Rd",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280789700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Marie Crisp
• Lori Critcher, NBC-HWC
• Breanna Crockett, PHARMD
• Susan M Crosby, RD, LDN
• Madison Cross
• Frederick A Cruickshank, M.D.
• Nicole R Cullen, MD
• Taryn Elizabeth Cullen, RD, LDN
• Sheila Cunningham
• Bette Currie, MSPT

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.