Individual provider Active NPI

Candace Corinne Crew, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1619021581
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13823 Issued in MD
Practice address
4 North Ave
Suite 306
Bel Air, MD 21014-2314
Phone
(410) 420-7292
Fax
(410) 420-7276
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 13823 MD Primary

Addresses

Primary practice location

4 North Ave
Suite 306
Bel Air, MD 21014-2314

Mailing address

4 North Ave
Suite 306
Bel Air, MD 21014-2314
Phone (410) 420-7292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000246 MD Practitioner - Clinical Social Worker 1456544154 Practice locations: Hampstead, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Mattingly Dr
Manchester, MD 21102-1880

4500 Black Rock Rd
Suite 103
Hampstead, MD 21074-2649
Phone (443) 528-6819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Counseling & Wellness Center, LLC CurrentSince Mar 28, 2017 Accepting new patients
Candace Crew LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1212 E Churchville Rd
Ste 300
Bel Air, MD 21014

4500 Black Rock Rd
Ste 103
Hampstead, MD 21074
Phone (443) 528-6819

200 E Joppa Rd
Ste 407
Towson, MD 21286
Phone (410) 828-6262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1619021581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTH AVE",
            "address_2": "SUITE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142314",
            "telephone_number": "410-420-7292",
            "fax_number": "410-420-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTH AVE",
            "address_2": "SUITE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142314",
            "telephone_number": "410-420-7292",
            "fax_number": "410-420-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREW",
        "first_name": "CANDACE",
        "middle_name": "CORINNE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.