Active NPI
Laura Crutchlow, LCSW
- Clinical Social Worker
- Santa Clara, CA
National Provider Identifier
1962102459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS13569
- Practice address
- 1654 Natalie Ave
Santa Clara, CA 95051-2913 - Phone
- (408) 568-2220
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS13569 | CA | Primary |
Addresses
Primary practice location
1654 Natalie Ave
Santa Clara, CA 95051-2913
Mailing address
1654 Natalie Ave
Santa Clara, CA 95051-2913
Phone (408) 568-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS13569 | Other | CA | CA BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS13569 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1962102459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1654 NATALIE AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512913",
"telephone_number": "408-568-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 NATALIE AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950512913",
"telephone_number": "408-568-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHLOW",
"first_name": "LAURA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS13569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LCS13569",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.