Active NPI
Judith Bass McCrosky, LCSW
- Clinical Social Worker
- Lovettsville, VA
National Provider Identifier
1609977370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003061
- Practice address
- 30 Houser Dr
Lovettsville, VA 20180-8632 - Phone
- (703) 474-2722
- Fax
- (540) 822-4597
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003061 | VA | Primary |
Addresses
Primary practice location
30 Houser Dr
Lovettsville, VA 20180-8632
Mailing address
30 Houser Dr
Lovettsville, VA 20180-8632
Phone (703) 474-2722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220427 | Other | VA | ANTHEM BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003061 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609977370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HOUSER DR",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201808632",
"telephone_number": "703-474-2722",
"fax_number": "540-822-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HOUSER DR",
"city": "LOVETTSVILLE",
"state": "VA",
"postal_code": "201808632",
"telephone_number": "703-474-2722",
"fax_number": "540-822-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROSKY",
"first_name": "JUDITH",
"middle_name": "BASS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "220427",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lovettsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.