Active NPI
Courtney Crawford
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1689086431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008794
- Practice address
- 2020 Chapel Hill Rd Ste 23
Durham, NC 27707-1186 - Phone
- (919) 688-7101
- NPI assigned
- May 28, 2014
- 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 | P008794 | NC | Primary |
Addresses
Primary practice location
2020 Chapel Hill Rd Ste 23
Durham, NC 27707-1186
Mailing address
136 E Chapel Hill St
Durham, NC 27701-3202
Phone (919) 688-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824001872 | NC | Practitioner - Clinical Social Worker | 8527353911 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008794 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1689086431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E CHAPEL HILL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013202",
"telephone_number": "919-688-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CHAPEL HILL RD STE 23",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071186",
"telephone_number": "919-688-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.