Shirley Diane Crenshaw, MSW, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005158 Issued in MO

Practice address

11030 Schuetz Road
Saint Louis, MO 63146-4972

Phone

(314) 374-4753

Fax

(314) 222-4939

NPI assigned

Mar 5, 2007

Last updated

May 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1922137793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SCHUETZ ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464972",
            "telephone_number": "314-374-4753",
            "fax_number": "314-222-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 SCHUETZ ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464972",
            "telephone_number": "314-374-4753",
            "fax_number": "314-222-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "SHIRLEY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MSW, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499999415",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby Ann Cremer
• Crenshaw Medical Supply LLC
• Brent Lee Crenshaw, DMD
• Jessica Crenshaw
• Patricia L Crenshaw, M.ED., LPC
• Zachary Crenshaw, DO
• Louis F Crepps, M.D.
• Crescendo Consulting LLC (Crescendo Hearing)
• Crescent Medical Services LLC
• Sharon Cresci, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.