Deena Lambert Crawford, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Hattiesburg, MS

NPI 1649894635 · NPPES record last updated Jun 4, 2020

Key facts

NPI
1649894635
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C7063 (MS)
Practice address
16 Cutlass PT
Hattiesburg, MS 39402-9555
Phone
(601) 467-6218
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

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)
No

State licenses

LicenseStateTypeSpecialty
C7063MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford & Crawford Counseling Current
since Oct 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C7063 MS
Clinical Social Worker 1041C0700X C7063 MS Yes

Addresses

Primary practice location

16 Cutlass PT
Hattiesburg, MS 39402-9555

Mailing address

16 Cutlass PT
Hattiesburg, MS 39402-9555
Phone (601) 467-6218

Other providers in Hattiesburg, MS

All providers in Hattiesburg, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.