Carolyn M McCrosson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121926 Issued in MA

Practice address

147 Centre St Apt 609
Brockton, MA 02302-2777

Phone

(508) 463-7688

NPI assigned

Apr 10, 2019

Last updated

Apr 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1700349305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CENTRE ST APT 609",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CENTRE ST APT 609",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022777",
            "telephone_number": "508-463-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROSSON",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R McCool, EDD
• Elaine M McCormack, LICSW
• Teresa Ann McCormack
• Samantha McCormick, MSW
• Makayla McCoy
• James Edward McCue
• Kathleen Ann McCullough, LCSW
• Kaitlin R. McCusker
• Shawn McDonald
• Wendy McDonald, LICSW

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.