Active NPI
Michael Jane Crouse, LISW-CP, CACP
- Clinical Social Worker
- Seneca, SC
National Provider Identifier
1962755355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8717
- Practice address
- 691 S Oak St
Seneca, SC 29678-3827 - Phone
- (864) 882-7563
- Fax
- (864) 882-7388
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 8717 | SC | Primary |
Addresses
Primary practice location
691 S Oak St
Seneca, SC 29678-3827
Mailing address
73 Starboard Tack Dr
Salem, SC 29676-4035
Phone (864) 280-3402
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1962755355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 STARBOARD TACK DR",
"city": "SALEM",
"state": "SC",
"postal_code": "296764035",
"telephone_number": "864-280-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 S OAK ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296783827",
"telephone_number": "864-882-7563",
"fax_number": "864-882-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "MICHAEL",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LISW-CP, CACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.