Organization Active NPI

Marjorie R Crowe MSW Corp

  • Clinical Social Worker
  • Randolph, VT
National Provider Identifier
1871044982
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000220 Issued in VT
Legal business name
MARJORIE R CROWE MSW CORP
Practice address
1 Belle Fred Dr
Randolph, VT 05060-1301
Phone
(802) 728-3018
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Marjorie R Crowe, MSWNPI 1639189137
Title
Owner
Phone
(802) 728-3018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0890000220 VT Primary

Addresses

Primary practice location

1 Belle Fred Dr
Randolph, VT 05060-1301

Mailing address

1 Belle Fred Dr
Randolph, VT 05060-1301
Phone (802) 728-3018

Other identifiers 1

IdentifierTypeStateIssuer
1007980MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161122000957 VT Part B Supplier - Clinic/Group Practice 7719266345 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1871044982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELLE FRED DR",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601301",
            "telephone_number": "802-728-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELLE FRED DR",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601301",
            "telephone_number": "802-728-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE R CROWE MSW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-728-3018",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007980",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.