Individual provider Active NPI

Stephen Bruce Crowe, LCSW

  • Clinical Social Worker
  • Johnson City, TN
National Provider Identifier
1598906042
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00172 Issued in TN
Practice address
525 N State of Franklin Rd
Suite 9
Johnson City, TN 37604-8213
Phone
(423) 431-6179
Fax
(423) 928-6795
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 00172 TN Primary

Addresses

Primary practice location

525 N State of Franklin Rd
Suite 9
Johnson City, TN 37604-8213

Mailing address

525 N State of Franklin Rd
Suite 9
Johnson City, TN 37604-8213
Phone (423) 431-6179

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
00172TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1598906042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 9",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048213",
            "telephone_number": "423-431-6179",
            "fax_number": "423-928-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 9",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048213",
            "telephone_number": "423-431-6179",
            "fax_number": "423-928-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "STEPHEN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "00172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.