Jeffrey Stewart Crouch, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06143 Issued in MD

Practice address

10632 Little Patuxent Pkwy
Suite 313
Columbia, MD 21044-3273

Phone

(443) 538-1247

Fax

(443) 276-6640

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Re Entry Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Westminster, MD
  • NPI 1073716379
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1326080136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 313",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "443-538-1247",
            "fax_number": "410-740-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 313",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "443-538-1247",
            "fax_number": "443-276-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JEFFREY",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06143",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "06143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215051400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Cross, RBT
• Kester I.H. Crosse II, M.D.
• Kisa S Crosse, MD
• Crossroads Psychological Associates LLC
• Crossthodontics LLC
• Janet Alice Crow, LCPC
• Lindsay A Crow, PH.D.
• Aubree Crowder, RBT
• Jasmine Crowder, DPT
• Joseph Crowley, DNP

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.