Jennifer Crawford, MSW, LICSW

Individual provider Active NPI Clinical Social Worker · Wells, MN

NPI 1730599481 · NPPES record last updated May 4, 2014

Key facts

NPI
1730599481
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14813 (MN)
Practice address
350 3Rd St NW
Wells, MN 56097-1049
Phone
(507) 848-0671
NPI assigned
May 4, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14813MNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14813 MN Yes

Addresses

Primary practice location

350 3Rd St NW
Wells, MN 56097-1049

Mailing address

350 3Rd St NW
Wells, MN 56097-1049
Phone (507) 848-0671

Other providers in Wells, MN

All providers in Wells, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.