Individual provider Active NPI

Nadesha Crumbie, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1891328548
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015087 Issued in NC
Practice address
2929 Delaware Dr
Fayetteville, NC 28304-3703
Phone
(910) 465-9846
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C015087 NC Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P014234 NC

Addresses

Primary practice location

2929 Delaware Dr
Fayetteville, NC 28304-3703

Mailing address

1811 Lyon Rd
Fayetteville, NC 28303-4245
Phone (862) 290-0353

Other practice location 1

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834
Phone (910) 339-0400

Other practice location 2

1830 Owen Dr Ste 103
Fayetteville, NC 28304-3412
Phone (910) 849-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231224000123 NC Practitioner - Clinical Social Worker 8729438205 Reassigns benefits to 1 organization
I20240201002037 DC Practitioner - Clinical Social Worker 8729438205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015087NCMDClinical Social Worker
P014234NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom in Journey PLLC Clinical CurrentSince May 21, 2023 Accepting new patients
Cape Fear Behavioral Health Center LLC CurrentSince Apr 20, 2026 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 15, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

6885 Cliffdale Rd
Ste 202
Fayetteville, NC 28314
Phone (910) 339-0393

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891328548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 LYON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034245",
            "telephone_number": "862-290-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 DELAWARE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043703",
            "telephone_number": "910-465-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6885 Cliffdale Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142834",
            "country_code": "US",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Owen Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043412",
            "country_code": "US",
            "telephone_number": "910-849-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMBIE",
        "first_name": "NADESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015087",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.