Raven Crenshaw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015069 Issued in NC

Practice address

4000 Tuckaseegee Rd
Charlotte, NC 28208-2832

Phone

(704) 523-5775

Fax

(704) 749-8833

NPI assigned

Oct 22, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1417611740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 CALVARY DR APT C3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276048211",
            "telephone_number": "423-320-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082832",
            "telephone_number": "704-523-5775",
            "fax_number": "704-749-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "RAVEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Cremins
• Breanna Rae Crenshaw, DPT
• Jessica Crenshaw, MS, CNS, LN
• Kimberly Crenshaw
• Maura Lacy Crenshaw
• Tosheen Saba Crenshaw, PA-C
• Hector Oreste Crespo Soto, MD
• David Owen Cress, FNP
• James Anderson Cress, LPC
• Julianna Michela Cress, LCMHCA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.