Individual provider Active NPI

Chantelle Crawford, LCSW-C

  • Clinical Social Worker
  • Severna Park, MD
National Provider Identifier
1265251847
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26882 Issued in MD
Practice address
815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164
Phone
(443) 367-1333
NPI assigned
Oct 9, 2024
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09931435 CO
Clinical Social Worker 1041C0700X 26882 MD Primary

Addresses

Primary practice location

815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164

Mailing address

815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164
Phone (443) 367-1333

Other practice location 1

30 E Padonia Rd Ste 202
Lutherville Timonium, MD 21093-2308
Phone (443) 367-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20260313002940 MD Practitioner - Clinical Social Worker 0547743874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3517 Millvale Rd
Windsor Mill, MD 21244-2971

4317 Harford Rd
Baltimore, MD 21214-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09931435COMDClinical Social Worker
26882MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Others Manage Emotions CurrentSince Feb 1, 2026 Accepting new patients

Locations

4317 Harford Rd
Baltimore, MD 21214
Phone (410) 275-0994

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1265251847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 RITCHIE HWY STE 205",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464164",
            "telephone_number": "443-367-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 RITCHIE HWY STE 205",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464164",
            "telephone_number": "443-367-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Padonia Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932308",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHANTELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931435",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.