Shonta Yanette Crowder

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3606 Idaho Ave
Bartlesville, OK 74006-2420

Phone

(918) 337-8080

Fax

(918) 337-8099

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1538457569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3492",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740063492",
            "telephone_number": "918-766-6998",
            "fax_number": "918-876-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 IDAHO AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062420",
            "telephone_number": "918-337-8080",
            "fax_number": "918-337-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "SHONTA",
        "middle_name": "YANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5264",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "legacysimpact@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "address_1": "3606 Idaho Ave",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740062420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Creoks Mental Health Seervices
• Crossroads Chiropractic, PLLC
• Kelli Christene Croucher, M.S., CCC-SLP
• Christy Michelle Crow, PT
• Rebekia Len Crow
• Ryan Andy Cuevas
• David L Culver, MD
• Nickole Ranee Cunningham
• Nicole Lynn Cupp, D.P.M.
• Barbara Curtsinger

• Social Worker in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.