Kelly A Crouch, MSSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33757 Issued in TX

Practice address

2928 W 5TH St
Fort Worth, TX 76107-2242

Phone

(817) 332-6348

Fax

(817) 332-6489

NPI assigned

Mar 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Parenting Center

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1396965042
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1275773236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072242",
            "telephone_number": "817-332-6348",
            "fax_number": "817-332-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072242",
            "telephone_number": "817-332-6348",
            "fax_number": "817-332-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "33757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads (Crossroads Treatment Center)
• Crossroads Evangelism, Inc.
• Crossroads Physical Therapy Limited Partnership (Green Oaks PT - Ft. Worth)
• Crossroads Treatment Center of Fort Worth, PLLC
• Karen L Crotty, M.D.
• Crow Enterprises,LLC
• J Douglas Crow, FNP-C
• Jessica Dawn Crow, APRN
• Monya Crow, LPC
• Laurie Cynthia Crowe, MD

• Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.