Individual provider Active NPI

David Lawerence Crown, CASAC-TRAINEE

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
National Provider Identifier
1346755063
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
28529 Issued in NY
Practice address
62 E Broadway
New York, NY 10002-6844
Phone
(212) 343-3591
NPI assigned
Dec 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28529 NY Primary

Addresses

Primary practice location

62 E Broadway
New York, NY 10002-6844

Mailing address

62 E Broadway
New York, NY 10002-6844
Phone (212) 343-3591

Other identifiers 1

IdentifierTypeStateIssuer
28529OtherNYCASAC TRAINEE

Other names 1

  • Mr. David Lawerence Crown Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28529NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1346755063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026844",
            "telephone_number": "212-343-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026844",
            "telephone_number": "212-343-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWN",
        "first_name": "DAVID",
        "middle_name": "LAWERENCE",
        "name_prefix": "Mr.",
        "credential": "CASAC-TRAINEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC TRAINEE",
            "identifier": "28529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CROWN",
            "middle_name": "LAWERENCE",
            "prefix": "MR.",
            "credential": "CASAC TRAINEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.