Individual provider Active NPI

Laurie-Anne Crespo, LICSW, LCSW

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1386946457
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9139 Issued in FL
Practice address
9520 Hamilton Creek Drive
Mobile, AL 36695
Phone
(251) 268-9944
Fax
(251) 450-5596
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW3993C AL
Clinical Social Worker 1041C0700X LCSWSW9139 FL
Clinical Social Worker 1041C0700X SW9139 FL Primary

Addresses

Primary practice location

9520 Hamilton Creek Drive
Mobile, AL 36695

Mailing address

1956 University Blvd South
Suite J-297
Mobile, AL 36609
Phone (251) 268-9944

Other identifiers 1

IdentifierTypeStateIssuer
005575300MedicaidFL

Other names 1

  • Ms. Laurie-Anne Walton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW3993CALMDClinical Social Worker
LCSWSW9139FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Counseling & Consulting, LLC Clinical CurrentSince Apr 17, 2022 Accepting new patients

Locations

1956 S University Blvd
Ste J297
Mobile, AL 36609
Phone (251) 268-9944

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1386946457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 UNIVERSITY BLVD SOUTH",
            "address_2": "SUITE J-297",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-268-9944",
            "fax_number": "251-706-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 HAMILTON CREEK DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-268-9944",
            "fax_number": "251-450-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "LAURIE-ANNE",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "LICSW3993C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSWSW9139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005575300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE-ANNE",
            "last_name": "WALTON",
            "prefix": "MS.",
            "credential": "LICSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.