Active NPI
Melissa Crowell, LCSW
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1659793149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015836
- Practice address
- 526 W State St
Rockford, IL 61101-1214 - Phone
- (815) 968-9300
- NPI assigned
- Jan 17, 2014
- Last updated
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 149015836 | IL | Primary |
Addresses
Primary practice location
526 W State St
Rockford, IL 61101-1214
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 387-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1021 N Mulford Rd
Rockford, IL 61107-3874
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015836 | IL | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Rockford, IL
- NPI 1326288994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1659793149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877",
"telephone_number": "815-387-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611011214",
"telephone_number": "815-968-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWELL",
"first_name": "MELISSA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- David J Creek, LMFT
- Christine Criel
- Marie Elizabeth Cristoforo, M.S. CF-SLP
- Crossroads Home Health, Inc. (Visiting Angels of Rockford)
- Martha Crotts
- Jason Croxford, DC
- Donald W Cruden, O.D.
- Leah A Crull, OTR/L, CHT
- Christina Marie Crum, PA-C
- Crusaders Central Clinic Association (Crusader Community Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.