Organization Active NPI

Crocus Mental Health

  • Clinical Social Worker
  • Annandale, VA
National Provider Identifier
1710895909
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CROCUS MENTAL HEALTH
Practice address
4917 Americana Dr Apt 207
Annandale, VA 22003-5018
Phone
(817) 842-4302
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carissa Hotelling, LCSW
Title
Owner/Authorizedofficial
Phone
(817) 842-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4917 Americana Dr Apt 207
Annandale, VA 22003-5018

Mailing address

4917 Americana Dr Apt 207
Annandale, VA 22003-5018
Phone (817) 779-2105

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1710895909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 AMERICANA DR APT 207",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035018",
            "telephone_number": "817-779-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 AMERICANA DR APT 207",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035018",
            "telephone_number": "817-842-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCUS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "HOTELLING",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZEDOFFICIAL",
        "authorized_official_telephone_number": "817-842-4302",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.