Tami Marie Crumlett, LSW, CADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150103498 Issued in IL

Practice address

1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217

Phone

(847) 524-8800

NPI assigned

Aug 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenneth Young CenterGroup PAC ID 7416940655, 23 clinicians

Practice addresses (Care Compare)

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.

• Kenneth Young Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk Grove Village, IL
  • NPI 1629083241
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1396358545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MOORE AVE",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073039",
            "telephone_number": "630-532-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "847-524-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMLETT",
        "first_name": "TAMI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35200",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Costanza, M.A., LCPC
• Stuart Cox, DPT
• Andrea Crabtree, M.S., CCC-SLP
• Crex Resources LLC
• Thomas E Cronin, MD
• Anthony Hans Cueva-Robles, MSW, BA
• Mark F Curcio, DDS
• Magdalena Cwenar-Placzek
• Jadwiga B. Czajkowska, D.O.
• Dina P Dadabhoy, MD

• Social Worker in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.