Individual provider Active NPI

Patrick Crawford, LICSW, LCSW-C

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1861512642
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12590 Issued in MD
Practice address
829 Bright Seat Road
Hyattsville, MD 20785
Phone
(301) 368-6850
NPI assigned
Mar 29, 2007
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078062 DC
Clinical Social Worker 1041C0700X 12590 MD Primary

Addresses

Primary practice location

829 Bright Seat Road
Hyattsville, MD 20785

Mailing address

7115 Chapparal Dr
District Heights, MD 20747-1771
Phone (301) 341-5111

Other practice location 1

3301 Belair Rd Ste 2
Baltimore, MD 21213-1257
Phone (443) 873-7193

Other names 1

  • Mr. Patrick Crawford Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078062DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Consulting and Mental Health Services, Inc. Clinical Current Accepting new patients

Locations

6490 Landover Rd
Ste D
Cheverly, MD 20785
Phone (240) 413-4131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1861512642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 CHAPPARAL DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471771",
            "telephone_number": "301-341-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BRIGHT SEAT ROAD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-368-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Belair Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212131257",
            "country_code": "US",
            "telephone_number": "443-873-7193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078062",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "CRAWFORD",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.