Dr. Mark H Crowell PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000000387 Issued in TN

Legal business name

DR. MARK H CROWELL PLLC

Practice address

1385 S Highland Ave
Suite B6
Jackson, TN 38301-7580

Phone

(731) 736-1874

Fax

(731) 736-1884

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Mark H Crowell, LCSW

Title

Owner

Phone

(731) 736-1874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1609101187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "address_2": "SUITE B6",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017580",
            "telephone_number": "731-736-1874",
            "fax_number": "731-736-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "address_2": "SUITE B6",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017580",
            "telephone_number": "731-736-1874",
            "fax_number": "731-736-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK H CROWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-736-1874",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.