Active NPI
Suzanne Maria Lee Crawford Natysin, LICSW
- Clinical Social Worker
- New Brighton, MN
National Provider Identifier
1174283113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19214
- Practice address
- 900 Long Lake Rd Ste 160
New Brighton, MN 55112-6414 - Phone
- (612) 706-9630
- NPI assigned
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19214 | MN | Primary |
Addresses
Primary practice location
900 Long Lake Rd Ste 160
New Brighton, MN 55112-6414
Mailing address
1420 Bradley St
Saint Paul, MN 55130-3404
Phone (651) 428-1791
Other practice location 1
4826 Chicago Ave Ste 105
Minneapolis, MN 55417-1055
Phone (612) 827-3028
Other names 1
- Suzanne Maria Lee Crawford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19214 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Wellness Collaborative | Current | Accepting new patients | |
| Medical Care Services, PA | Current | Accepting new patients | |
| Center for Child Abuse Prevention and Treatment | Past | Accepting new patients |
Locations
900 Long Lake Rd
Ste 160
Saint Paul, MN 55112
Phone (612) 706-9630
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.
-
- Clinical Psychologist
- New Brighton, MN
- NPI 1548822943
-
- Family Medicine Physician
- New Brighton, MN
- NPI 1083778708
-
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1427228709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1174283113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 BRADLEY ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303404",
"telephone_number": "651-428-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 LONG LAKE RD STE 160",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551126414",
"telephone_number": "612-706-9630"
}
],
"practiceLocations": [
{
"address_1": "4826 Chicago Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554171055",
"country_code": "US",
"telephone_number": "612-827-3028",
"fax_number": "612-823-4993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATYSIN",
"first_name": "SUZANNE",
"middle_name": "MARIA LEE CRAWFORD",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "CRAWFORD",
"middle_name": "MARIA LEE",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.