Teresa Lynn McCrossin, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004468 Issued in VA

Practice address

1320 Central Park Blvd
Suite 231
Fredericksburg, VA 22401-4942

Phone

(540) 785-1660

Fax

(866) 736-3024

NPI assigned

Nov 1, 2006

Last updated

Aug 3, 2015By 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

Other names 1

• Teresa Lynn Gore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1710064134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD",
            "address_2": "SUITE 231",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014942",
            "telephone_number": "540-785-1660",
            "fax_number": "866-736-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD",
            "address_2": "SUITE 231",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014942",
            "telephone_number": "540-785-1660",
            "fax_number": "866-736-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROSSIN",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "GORE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher McCord, PA-C
• Amani McCoy
• Lori Ann McCoy, LPTA
• Lisa McCracken, CSFA
• Jaelyn Anissa McCroskey
• Ashley Blair McCuen, ANP
• Pamela S McCullough, N.P.
• Sharon Y McCurdy
• Shannon McDaniel, NP
• Brian McDermott, M.D.

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.