MEDICARE: CAROLINE P CROWLEY LCSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1760900229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE P CROWLEY LCSW

Provider Business Mailing Address
First Line	:	2308 DAUPHINE ST APT 1
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-8508
Country	:	US
Telephone Number	:	614-406-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2308 DAUPHINE ST APT 1
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-8508
Country	:	US
Telephone Number	:	614-406-5111
Fax Number	:

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

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	07/21/2022

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Directions to “ CAROLINE P CROWLEY LCSW” Practice Location

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