Renay Lette Crouse, LISW

Individual provider Active NPI Clinical Social Worker · New Wilmington, PA

NPI 1962732925 · NPPES record last updated Jan 13, 2010

Key facts

NPI
1962732925
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I. 0009226 (OH)
Practice address
241 High St
New Wilmington, PA 16142-1116
Phone
(724) 946-8711
Fax
(724) 946-9612
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
I. 0009226OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 0009226 OH Yes

Addresses

Primary practice location

241 High St
New Wilmington, PA 16142-1116

Mailing address

241 High St
New Wilmington, PA 16142-1116
Phone (724) 946-8711

Other providers in New Wilmington, PA

All providers in New Wilmington, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.