Active NPI
Marsae D Crawford, LISW-S
- Clinical Social Worker
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1000340-SUPV
- Practice address
- 4690 Belmont Ave
Youngstown, OH 44505-1012 - Phone
- (330) 759-7799
- Fax
- (330) 759-7798
- NPI assigned
- May 29, 2013
- Last updated
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1000340-SUPV | OH | Primary |
Addresses
Primary practice location
4690 Belmont Ave
Youngstown, OH 44505-1012
Mailing address
4690 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 759-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I1000340-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Current | Accepting new patients | |
| Rajendra P Koirala, M.D., LLC | Current | Accepting new patients | |
| New Day Counseling & Wellness, LLC | Past | Accepting new patients |
Locations
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
725 Boardman Canfield Rd
Ste L1
Youngstown, OH 44512
Phone (330) 330-8655
725 Boardman Canfield Rd
Ste M2
Youngstown, OH 44512
Phone (330) 330-8655
Interoperability endpoints
- marsae.crawford.1@23300.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Psychiatry Physician
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- NPI 1760977177
-
- Community/Behavioral Health Agency
- Youngstown, OH
- NPI 1447594171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1811334097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4690 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051012",
"telephone_number": "330-759-7799",
"fax_number": "330-759-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051012",
"telephone_number": "330-759-7799",
"fax_number": "330-759-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MARSAE",
"middle_name": "D",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1000340-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.