Mary Lucian L Cronkite, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6024 Issued in FL

Practice address

1100 7TH Ave
Jasper, AL 35501-4377

Phone

(205) 387-0541

NPI assigned

Aug 2, 2006

Last updated

Jul 26, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Alabama Mental Health CenterGroup PAC ID 0749181998, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Alabama Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jasper, AL
  • NPI 1295829489
  Medicare reassignment Care Compare group NPD
• Northwest Alabama Mental Health Center

  • Psychiatry Physician
  • Jasper, AL
  • NPI 1871687756
  NPD
• Daniel Memorial Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1316105091
  NPD (past)
• Daniel Memorial, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1346205861
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1407863541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165813",
            "telephone_number": "904-296-1055",
            "fax_number": "904-448-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014377",
            "telephone_number": "205-387-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3725 Belfort Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322165813",
            "country_code": "US",
            "telephone_number": "904-296-1055 x2332",
            "fax_number": "904-448-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONKITE",
        "first_name": "MARY LUCIAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7653913 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7667965 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrison Stephen Cowen, M.D.
• Adam Zachary Cox, DMD
• Virginia Cox, OTR/L
• Creative Behavioral Services, LLC
• Brian E Cressman, MD
• Christi Crossley, MS
• Kathy Elaine Crowe, CRNA
• Claude Michael Crump, LMSW
• Emma Crumpton, DPT
• Crystal Nuss, LCSW, Pip

• Clinical Social Worker in Jasper, AL
• Providers in Jasper, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.