Active NPI
Camille Crane, LCSW
- Clinical Social Worker
- Kingston, PA
National Provider Identifier
1710433180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019208
- Practice address
- 900 Rutter Ave
Kingston, PA 18704-4962 - Phone
- (570) 285-3179
- NPI assigned
- Aug 26, 2016
- Last updated
- Dec 15, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW019208 | PA | Primary |
| Clinical Social Worker | 1041C0700X | 19367 | MD | |
| Clinical Social Worker | 1041C0700X | LC50080451 | DC |
Addresses
Primary practice location
900 Rutter Ave
Kingston, PA 18704-4962
Mailing address
90 Slocum St
Forty Fort, PA 18704-4021
Phone (703) 585-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50080451 | DC | MD | Clinical Social Worker |
| 19367 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1710433180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SLOCUM ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044021",
"telephone_number": "703-585-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RUTTER AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187044962",
"telephone_number": "570-285-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "CAMILLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019208",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19367",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.