Jose Eduardo Crego, LCSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009093 Issued in CT

Practice address

969 W Main St Ste 1D
Waterbury, CT 06708-2667

Phone

(203) 768-9808

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CT

  Medicare reassignment NPD
• J Crego LCSW LLC

  • Clinical Social Worker
  • Portland, CT
  • NPI 1336941244

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Holistic Psychotherapy Services, LLC

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1508386350
  Authorized official Same address or phone

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1245594159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 WEST MAIN STREET SUITE 1D",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-768-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 1D",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082667",
            "telephone_number": "203-768-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGO",
        "first_name": "JOSE",
        "middle_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "995",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Jennifer Cox, LCSW
• Ashley Marie Cozzo, M.D.
• Ashley Lauren Crabtree, PA-C
• Suzanne Crean, P.T.
• Creative Solutions for Healthy Minds LLC
• Norman Robert Crepon Jr., DMD
• Ashley Marie Crespo
• Lorena Johanna Crespo
• Daisy Crispin
• Christina Crocco

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.