Dominique Sherie Crump, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116228 Issued in MI

Practice address

26657 Woodward Ave Ste 106
Huntington Woods, MI 48070-1371

Phone

(248) 573-7417

NPI assigned

Jan 14, 2019

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)

Enrolled

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 and National Provider Directory roles.

• Lyon Counseling Center

  • Adult Mental Health Clinic/Center
  • South Lyon, MI
  • NPI 1457983355
  NPD
• Southfield Mental Health Associates PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1619015872
  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1316411309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19921 ALBANY AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753984",
            "telephone_number": "313-310-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 106",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701371",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 W 12 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762102",
            "country_code": "US",
            "telephone_number": "248-727-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "DOMINIQUE",
        "middle_name": "SHERIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cognitive Insight Center, Inc
• Cope Personal Development Center
• Cope Personal Development Center
• Isabella Corsi
• Kristin Cotts
• CRV Imaging Consultants, Inc.
• Cheryl Dailey
• Daniel a Gross DDS PLLC
• Tori Louise Decaires
• Christine Marie Deeds, MNT

• Clinical Social Worker in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.