Mary Crittenden, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093137 Issued in MI

Practice address

114 W Chisholm St
Alpena, MI 49707-2446

Phone

(989) 461-4825

Fax

(989) 256-0738

NPI assigned

Feb 28, 2012

Sex

Female

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

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lake Therapeutic, PLLC

  • Clinical Social Worker
  • Alpena, MI
  • NPI 1528946845
  NPD Authorized official
• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1508180662
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1396019063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072446",
            "telephone_number": "989-461-4825",
            "fax_number": "989-256-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CHISHOLM ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072446",
            "telephone_number": "989-461-4825",
            "fax_number": "989-256-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Cousineau, CHW
• Marcie Cowles, LMSW
• Emily Ruth - Anne Crane
• Shelby Danielle Crawford, MD
• Brian M Crissman, IDMT
• Ashley Cross
• Isabella Cryer
• Kyle Clifford Cuneo, MD
• Robert Mark Currier, D.O.
• Renee Ann Curry, LMSW

• Clinical Social Worker in Alpena, MI
• Providers in Alpena, 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 Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.