Individual provider Active NPI

Jennifer Lynn Crew, LISW

  • Social Worker
  • Sioux City, IA
National Provider Identifier
1972624674
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
02809 Issued in IA
Practice address
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Phone
(712) 234-0220
Fax
(712) 234-0225
NPI assigned
Apr 2, 2007
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 02809 IA Primary

Addresses

Primary practice location

600 4TH St
Suite 501
Sioux City, IA 51101-1750

Mailing address

3320 W 4TH St
Sioux City, IA 51103-3200
Phone (712) 202-0777

Other identifiers 1

IdentifierTypeStateIssuer
I13094006OtherIAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000952 IA Practitioner - Clinical Social Worker 7618163130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02809IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Mental Health Services, Inc. Social Worker CurrentSince May 1, 2025 Accepting new patients
Ven Mental Health and TMS Clinic LLC Social Worker PastSince Jul 9, 2025 Accepting new patients
Associates for Psychiatric Services PC PastSince Sep 1, 2006 Accepting new patients
Jackson Recovery Centers, Inc. Past Accepting new patients

Locations

4265 Sergeant Rd
Sioux City, IA 51106
Phone 71225238714625

625 Court St
Sioux City, IA 51101
Phone (712) 252-3871

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1972624674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033200",
            "telephone_number": "712-202-0777",
            "fax_number": "712-202-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "address_2": "SUITE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREW",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I13094006",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.