Wendy Crocker, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113009 Issued in MA

Practice address

1645 Falmouth Rd
Suite E3
Centerville, MA 02632-2932

Phone

(508) 775-1800

NPI assigned

Dec 4, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Cape Cod Counseling Associates, LLC

  • Clinical Social Worker
  • Marstons Mills, MA
  • NPI 1366502080
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700944659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026321053",
            "telephone_number": "508-775-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 FALMOUTH RD",
            "address_2": "SUITE E3",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322932",
            "telephone_number": "508-775-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "WENDY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith E Chagaris, ATC, PTA, CSCS
• Leslie J Colton
• Adam Conefrey
• Connect Staffing Cape Cod LLC
• Craig W Cote
• Eileen Cullen Weber, P.T.
• Flavio Ronaldo De Oliveira Jr., RN
• Diana W. Liu, DDS, PC
• Lee Colin Docherty
• Caitlin Irene Dolan, OTR/L

• Clinical Social Worker in Centerville, MA
• Providers in Centerville, 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 Jul 8, 2007; 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.