Mary M Crockett
Counselor, Addiction (Substance Use Disorder) in Bradford, Massachusetts
1245325653- Practice location
- 42 South Park Street, Bradford, MA 01835
- Phone
- 978-521-8919
- Fax
- —
- Last updated
- September 11, 2025
Mary M Crockett is a Counselor, Addiction (Substance Use Disorder) based in Bradford, MA. Mary M Crockett practices in Bradford, MA. The NPI Number for Mary M Crockett is 1245325653 and holds a License No. 1674 (MA). The current practice location address for Mary M Crockett is 42 South Park Street, Bradford, MA 01835 and can be reached out via phone at 978-521-8919.
Provider Profile Details
- NPI Number
- 1245325653
- Provider Name
- Mary M Crockett
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 42 South Park Street, Bradford, MA 01835
- Phone Number
- 978-521-8919
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 South Park Street
Bradford, MA 01835 - City
- Bradford
- State
- Massachusetts
- Zip
- 01835
- Phone Number
- 978-521-8919
Provider Business Mailing Address Details
- Address
- 42 South Park Street
Bradford, MA 01835 - City
- Bradford
- State
- MA
- Zip
- 01835
- Phone Number
- 978-521-8919
License Information
- License Number (1)
- 1674
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 5176
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mary M Crockett?
The NPI number of Mary M Crockett is 1245325653. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary M Crockett?
Mary M Crockett is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 1674.
Where does Mary M Crockett practice?
The practice location is 42 South Park Street, Bradford, MA 01835. The office can be reached at 978-521-8919 (phone).
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 1245325653 directly on the NPPES registry website.