Latresha Artis Crumpler, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P006802 Issued in NC

Practice address

1329 N. Brightleaf Blvd., Suite a-1
Pathways to Life, Inc.
Smithfield, NC 27577-7262

Phone

(919) 938-0442

Fax

(919) 938-0448

NPI assigned

Dec 28, 2011

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Carolina Outreach, LLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1083723266
  NPD
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1508171216
  NPD

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1619246238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E. FIRETOWER ROAD",
            "address_2": "PATHWAYS TO LIFE, INC.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584196",
            "telephone_number": "252-695-0269",
            "fax_number": "252-413-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N. BRIGHTLEAF BLVD., SUITE A-1",
            "address_2": "PATHWAYS TO LIFE, INC.",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777262",
            "telephone_number": "919-938-0442",
            "fax_number": "919-938-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPLER",
        "first_name": "LATRESHA",
        "middle_name": "ARTIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P006802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Johnston North Carolina
• Kylie McDermott Cox, DNP, CRNA
• Skylier Cox
• Oscar P Crabtree, CRNA
• Sherri T. Creech
• Natalie Pierce Cuany, MS, CCC-SLP
• Haley Moretz Cubbison, M.S., CCC-SLP
• Cayla Lauren Culbreth, PA-C
• Lanelle Currie
• Marquail Currie

• Social Worker in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.