Individual provider Active NPI

Elizabeth Crutchman, LCSW

  • Clinical Social Worker
  • Uniontown, PA
National Provider Identifier
1962649798
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017823 Issued in PA
Practice address
180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone
(724) 550-4343
Fax
(724) 550-4311
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CW017823 PA Primary

Addresses

Primary practice location

180 N Gallatin Ave
Uniontown, PA 15401-2969

Mailing address

180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone (724) 550-4343

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

LicenseStateTypeSpecialty
CW017823PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CPP Behavioral Health Inc. Current Accepting new patients

Locations

180 N Gallatin Ave
Uniontown, PA 15401
Phone (724) 437-0250

253 S Mount Vernon Ave
Uniontown, PA 15401
Phone (724) 438-4960

Organizations & group practices 1

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1962649798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-550-4343",
            "fax_number": "724-550-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-550-4343",
            "fax_number": "724-550-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHMAN",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.