Individual provider Active NPI

Melba Flowers Crawford, LCSW

  • Clinical Social Worker
  • Guntersville, AL
National Provider Identifier
1871871269
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1891C Issued in AL
Practice address
1612 Railroad Ave
Guntersville, AL 35976-1854
Phone
(256) 582-8880
Fax
(256) 582-8890
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1891C AL Primary

Addresses

Primary practice location

1612 Railroad Ave
Guntersville, AL 35976-1854

Mailing address

2409 Homer Clayton Dr
Guntersville, AL 35976-2207
Phone (256) 582-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000996 AL Practitioner - Clinical Social Worker 1254501539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Alabama Counseling Center IncGroup PAC ID 3375545049, 6 clinicians

Practice addresses (Care Compare)

1612 Railroad Ave
Guntersville, AL 35976-1854
Phone (256) 582-8880

1612 Railroad Ave
PO Box 1001
Guntersville, AL 35976-1861

PO Box
Suite 1001
Guntersville, AL 35976-1861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Counseling Center Inc CurrentSince Aug 3, 2011 Accepting new patients

Locations

217 Gunter Ave
Guntersville, AL 35976
Phone (256) 582-8880

1612 Railroad Ave
Guntersville, AL 35976
Phone (256) 582-8880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1871871269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 HOMER CLAYTON DR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762207",
            "telephone_number": "256-582-4240",
            "fax_number": "256-582-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 RAILROAD AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761854",
            "telephone_number": "256-582-8880",
            "fax_number": "256-582-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MELBA",
        "middle_name": "FLOWERS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1891C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.