S. Nicole Crawford, LCSW, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

S. NICOLE CRAWFORD, LCSW, PLLC

Doing business as

SNC Therapeutic Services

Practice address

3715 Bardstown Rd Ste 300
Louisville, KY 40218-2268

Phone

(502) 777-2404

Fax

(888) 607-7352

NPI assigned

Jan 9, 2020

Last updated

Nov 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sedetria Sumerall, LCSWNPI 1164652863

Title

Owner

Phone

(502) 777-2404

Specialties & licenses 5

Addresses

Other names 1

• SNC Therapeutic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sedetria Sumerall, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1164652863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1831739689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 FANTASY TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295514",
            "telephone_number": "502-777-2404",
            "fax_number": "888-607-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BARDSTOWN RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182268",
            "telephone_number": "502-777-2404",
            "fax_number": "888-607-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3167 Custer Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405174018",
            "country_code": "US",
            "telephone_number": "859-227-2077",
            "fax_number": "888-607-7352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S. NICOLE CRAWFORD, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "SUMERALL",
        "authorized_official_first_name": "SEDETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-777-2404",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNC Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.