Individual provider Active NPI

Laurie Sumpf Crosbie, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1285946509
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 26583 Issued in CA
Practice address
5430 N Palm Ave
Suite 108
Fresno, CA 93704-1900
Phone
(559) 779-0418
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 26583 CA Primary

Addresses

Primary practice location

5430 N Palm Ave
Suite 108
Fresno, CA 93704-1900

Mailing address

5430 N Palm Ave
Suite 108
Fresno, CA 93704-1900
Phone (559) 779-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 26583CAMDClinical Social Worker
26583CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St.Joseph Counseling Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1285946509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 N PALM AVE",
            "address_2": "SUITE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-779-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 N PALM AVE",
            "address_2": "SUITE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-779-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBIE",
        "first_name": "LAURIE",
        "middle_name": "SUMPF",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 26583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.