Individual provider Active NPI

Marcy Lynn Crago, MSW

  • Social Worker
  • Weirton, WV
National Provider Identifier
1902052079
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CP00941811 Issued in WV
Practice address
651 Colliers Way
Suite 412
Weirton, WV 26062-5053
Phone
(304) 723-3423
NPI assigned
Aug 8, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CP00941811 WV Primary

Addresses

Primary practice location

651 Colliers Way
Suite 412
Weirton, WV 26062-5053

Mailing address

103 E Belleview Dr
Weirton, WV 26062-3647
Phone (304) 670-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20081111000882 WV Practitioner - Clinical Social Worker 7113086794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Change IncorporatedGroup PAC ID 1759325327, 18 clinicians

Practice addresses (Care Compare)

3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP00941811WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Change, Incorporated CurrentSince Jan 7, 2009 Accepting new patients
Cognitive Medicine Practice PLLC CurrentSince Jul 1, 2012 Accepting new patients
Family Connections, Inc. Past Accepting new patients

Locations

1307 Dennis Way
Toronto, OH 43964
Phone (740) 537-2456

310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410

3136 West St
Weirton, WV 26062
Phone (304) 748-2828

3158 West St
Weirton, WV 26062
Phone (304) 797-7733

651 Colliers Way
Ste 412
Weirton, WV 26062
Phone (304) 723-3400

Interoperability endpoints

  • Direct secure messaging: marcy.crago@fmcchc.eclinicaldirectplus.com

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, 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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1902052079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BELLEVIEW DR",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623647",
            "telephone_number": "304-670-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY",
            "address_2": "SUITE 412",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625053",
            "telephone_number": "304-723-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGO",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "CP00941811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.