Stacy Crutcher-McFadden, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CL 60145043 Issued in WA

Practice address

748 14TH Ave
Longview, WA 98632-2315

Phone

(360) 578-2600

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1821491523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "RAINIER",
            "state": "OR",
            "postal_code": "970481379",
            "telephone_number": "360-578-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322315",
            "telephone_number": "360-578-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHER-MCFADDEN",
        "first_name": "STACY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL 60145043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80-0568238",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James T Crider, MD
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• Kimberlee Mae Crosby
• Jessie Crossett
• Isabell Cruz-Chisholm
• Christina Louise Cruz
• Elizabeth Marie Cruz, M.D.
• Lisa Cruz, MSW
• Robert Cojuangco Cruz III, M.D.

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.