Active NPI
Crimsetta Lajeanna Dunn, LCSW
- Clinical Social Worker
- Crown Point, IN
National Provider Identifier
1477706158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34000628A
- Practice address
- 2100 N Main St # 304
Crown Point, IN 46307-1877 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Oct 28, 2008
- Last updated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34000628A | IN | Primary |
Addresses
Primary practice location
2100 N Main St # 304
Crown Point, IN 46307-1877
Mailing address
PO Box 10299
Fort Wayne, IN 46851-0299
Phone (574) 546-1900
Other practice location 1
10026 E 21st Street
Ste 15
Indianapolis, IN 46229-1802
Phone (317) 493-9309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34000628A | Other | IN | IN STATE LICENSE- LCSW |
Other names 1
- Crimsetta Lajeanna Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidestar Eldercare - TN, P.C. | Clinical | Current | Accepting new patients |
| Abundant Life LLC | Clinical | Current | Accepting new patients |
| Guidestar Eldercare Corp. - NM | Clinical | Current | Accepting new patients |
Locations
10026 E 21st St
Ste 15
Indianapolis, IN 46229
Phone (317) 493-9309
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1205596715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1477706158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10299",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468510299",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST # 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "10026 E 21st Street",
"address_2": "Ste 15",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462291802",
"country_code": "US",
"telephone_number": "317-493-9309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "CRIMSETTA",
"middle_name": "LAJEANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34000628A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN STATE LICENSE- LCSW",
"identifier": "34000628A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRIMSETTA",
"last_name": "TAYLOR",
"middle_name": "LAJEANNA",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.