Mark Andrew Crossen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW009757 Issued in GA

Practice address

1121 Johnson Ferry Rd Ste 450
Marietta, GA 30068-5433

Phone

(770) 694-6349

NPI assigned

Mar 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mark Andrew Crossen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Avant Behavioral Consultants Inc

  • Psychiatry Physician
  • Austell, GA
  • NPI 1598250342
  NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1265180897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685433",
            "telephone_number": "770-694-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685433",
            "telephone_number": "770-694-6349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Mulkey Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061150",
            "country_code": "US",
            "telephone_number": "770-694-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSEN",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "CROSSEN",
            "middle_name": "ANDREW",
            "prefix": "MR.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Crosby
• Nichole Crosier
• Brandy Noelle Cross, MD
• Kenneth Cross, M. DIV, LMFT
• Kristen Leigh Cross, ATC
• Crossover Outpatient Services LLC
• Roddie Crouch, DDS
• Caley Crouse
• Vicki Lynn Crouse, AGACNP-BC
• Bruce Patterson Crowley, M.D.

• Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.