Individual provider Active NPI

Edward D. Crouch, M.S.W.

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1588613624
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005195 Issued in WA
Practice address
9500 Roosevelt Way NE
Suite 206
Seattle, WA 98115-2252
Phone
(206) 362-1114
Fax
(206) 363-1432
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00005195 WA Primary

Addresses

Primary practice location

9500 Roosevelt Way NE
Suite 206
Seattle, WA 98115-2252

Mailing address

11334 19TH Ave NE
Seattle, WA 98125-6550
Phone (206) 363-1432

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW00005195WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588613624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11334 19TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256550",
            "telephone_number": "206-363-1432",
            "fax_number": "206-363-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT WAY NE",
            "address_2": "SUITE 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152252",
            "telephone_number": "206-362-1114",
            "fax_number": "206-363-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "EDWARD",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.