Erin Stewart Crimmins, LCSW
Individual provider Active NPI Clinical Social Worker · Bunnell, FL
NPI 1225593759 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1225593759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16052 (FL)
- Practice address
- 301 Justice LN
Bunnell, FL 32110-4487 - Phone
- (386) 254-1173
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190524001799 | FL | Practitioner - Clinical Social Worker | 0547503039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16052 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- erin.crimmins.p1@direct.smahealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 16052 | FL | Yes |
Addresses
Primary practice location
301 Justice LN
Bunnell, FL 32110-4487
Mailing address
25 Seville Orange Path
Palm Coast, FL 32164-5403
Phone (386) 214-7369
Other providers in Bunnell, FL
- Clarke in-Home Senior Care LLC
- Daniel Dalton Cody
- Ashlee Coleman
- Amy L. Coopersmith
- Susan E Crane
- Robert Aloysius Crimmins
- Nancy Hutt Culver
- Klara Dandrea
- Bethany Ann Danner
- Christopher Manly Deck
All providers in Bunnell, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.