Letitia Ann Jensen Crawford, PH.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C0778 Issued in MS

Practice address

500 Russell Street
Suite 106
Starkville, MS 39759

Phone

(662) 323-6317

Fax

(662) 325-7538

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Leigh Ann Jensen Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1902894868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSSELL STREET",
            "address_2": "SUITE 106",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-6317",
            "fax_number": "662-325-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL STREET",
            "address_2": "SUITE 106",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-6317",
            "fax_number": "662-325-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN CRAWFORD",
        "first_name": "LETITIA",
        "middle_name": "ANN",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C0778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "JENSEN",
            "middle_name": "ANN",
            "credential": "PH.D., LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Michele Jackson
• Ruby J Jackson
• James S. Brown, III, M. D. PLLC
• Karla Y Jamison
• Jennifer Jennings, MS
• Angela Johnson, MS
• Ashley Denise Johnson, MS,CCC-SLP
• Brittany Johnson, PTA
• Emily Marie Johnson, MS, PLPC
• Kizmet Johnson, MS

• Clinical Social Worker in Starkville, MS
• Providers in Starkville, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.