Paul E Crouch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2146 Issued in FL

Practice address

310 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593

Phone

(352) 215-9734

Fax

(352) 332-9734

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1306866009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 SW 101ST TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074604",
            "telephone_number": "352-215-9734",
            "fax_number": "352-332-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-215-9734",
            "fax_number": "352-332-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "PAUL",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Cross, OT
• Melissa Marie Cross, APRN,
• Bruce A Crosson, PHD
• Jared Allen Crothers, M.D.
• Audrey S Crouch, L.C.S.W.
• Elmer Elsworth Croushore III, MD
• Justin Russell Crowder, PHARMD
• Albert B Crowley, MS, CCC-S,A
• Brandi Crowley
• Margaret Stanton Crowley, MS, CCC-SLP

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.