Cynthia Jean Crowson, LCSW

Individual provider Active NPI Clinical Social Worker · Mt. Ida, AR

NPI 1609079102 · NPPES record last updated Dec 13, 2016

Key facts

NPI
1609079102
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2472-C (AR)
Practice address
506 Highway 270 East
Mt. Ida, AR 71957
Phone
(870) 557-4888
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2472-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Oppurtunities Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2472-C AR Yes

Addresses

Primary practice location

506 Highway 270 East
Mt. Ida, AR 71957

Mailing address

PO Box 1394
Mount Ida, AR 71957-1394
Phone (870) 557-4888

Other providers in Mt. Ida, AR

All providers in Mt. Ida, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.