MEDICARE: DR. DEMAREST CRAWL DSW, LCSW-C, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC50082263	DC
2	1041C0700X	Clinical Social Worker	22389	MD

General Provider Information

NPI Number	:	1023663325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEMAREST CRAWL DSW, LCSW-C, LICSW

Provider Business Mailing Address
First Line	:	1808 61ST AVE
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-3803
Country	:	US
Telephone Number	:	301-246-3038
Fax Number	:	855-631-0312

Provider Business Practice Location Address
First Line	:	1808 61ST AVE
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-3803
Country	:	US
Telephone Number	:	301-246-3038
Fax Number	:	855-631-0312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	01/06/2026

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