Organization Active NPI

David H. Crowley and Associates LTD

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1528575958
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003667 Issued in IL
Legal business name
DAVID H. CROWLEY AND ASSOCIATES LTD
Practice address
100 N Chestnut St Ste 231
Champaign, IL 61820-4856
Phone
(217) 637-7816
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
David Harman Crowley, LCSWNPI 1962570721
Title
Owner
Phone
(217) 637-7816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149003667 IL Primary

Addresses

Primary practice location

100 N Chestnut St Ste 231
Champaign, IL 61820-4856

Mailing address

100 N Chestnut St Ste 231
Champaign, IL 61820-4856
Phone (217) 637-7816

Other identifiers 1

IdentifierTypeStateIssuer
331485953001MedicaidIL

National Provider Directory

National Provider Directory

Locations

100 N Chestnut St
Ste 231
Champaign, IL 61820
Phone (217) 637-7716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1528575958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 231",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204856",
            "telephone_number": "217-637-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 231",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204856",
            "telephone_number": "217-637-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. CROWLEY AND ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-637-7816",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331485953001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.