Active NPIIndividual provider

Mrs. Jennifer M Crandall, LCSW

Social Worker, Clinical in Caribou, Maine

NPI Number1073671046
Practice location
24 Sweden St, Caribou, ME 04736-2127
Fax
207-492-4889
Last updated
August 20, 2014

Jennifer M Crandall is a Social Worker, Clinical based in Caribou, ME. Jennifer M Crandall practices in Caribou, ME and has the professional credentials of LCSW. The NPI Number for Jennifer M Crandall is 1073671046 and holds a License No. LC13640 (ME). The current practice location address for Jennifer M Crandall is 24 Sweden St, Caribou, ME 04736-2127 and can be reached out via phone at 207-493-3361 and via fax at 207-492-4889.

Provider Profile Details

NPI Number
1073671046
Provider Name
Jennifer M Crandall
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
24 Sweden St, Caribou, ME 04736-2127
Phone Number
207-493-3361
Fax Number
207-492-4889
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2006
Last Update Date
August 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Sweden St
Caribou, ME 04736-2127
State
Maine
Zip
04736-2127
Phone Number
207-493-3361
Fax Number
207-492-4889
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
24 Sweden St
Caribou, ME 04736-2127
City
Caribou
State
ME
Zip
04736-2127
Phone Number
207-493-3361
Fax Number
207-492-4889

License Information

License Number
LC13640
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jennifer M Crandall, LCSW?

The NPI number of Mrs. Jennifer M Crandall, LCSW is 1073671046. It was assigned on December 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer M Crandall, LCSW?

Mrs. Jennifer M Crandall, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC13640.

Where does Mrs. Jennifer M Crandall, LCSW practice?

The practice location is 24 Sweden St, Caribou, ME 04736-2127. The office can be reached at 207-493-3361 (phone) or 207-492-4889 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073671046 directly on the NPPES registry website.

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