Organization Active NPI

Catherine Crandall Counseling, LLC

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1508302829
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHERINE CRANDALL COUNSELING, LLC
Practice address
4658 E. State Rd. 45
Bloomington, IN 47408-9644
Phone
(812) 797-5218
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Catherine Crandall, LCSW
Title
Tin Owner
Phone
(812) 727-5218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4658 E. State Rd. 45
Bloomington, IN 47408-9644

Mailing address

920 S Manor Rd
Bloomington, IN 47401-5068
Phone (812) 727-5218

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1508302829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S MANOR RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015068",
            "telephone_number": "812-727-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4658 E. STATE RD. 45",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089644",
            "telephone_number": "812-797-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE CRANDALL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "812-727-5218",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.