MEDICARE: MR. ARTHUR JOHN CROWLEY MSW, LCSW, CSAT

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	SW 9761	FL

General Provider Information

NPI Number	:	1790932283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR JOHN CROWLEY MSW, LCSW, CSAT

Provider Business Mailing Address
First Line	:	2672 NE 37TH DR
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6325
Country	:	US
Telephone Number	:	954-290-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2803 E COMMERCIAL BLVD
Second Line	:	SUITE 200
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4205
Country	:	US
Telephone Number	:	954-290-8611
Fax Number	:

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	06/22/2011

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