Healthcare Provider Details

I. General information

NPI: 1003088899
Provider Name (Legal Business Name): JOHN CARLTON CROWE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 NAVAJO ST
DENVER CO
80211-2440
US

IV. Provider business mailing address

2111 CHAMPA ST
DENVER CO
80205-2529
US

V. Phone/Fax

Practice location:
  • Phone: 720-956-2667
  • Fax: 720-956-2313
Mailing address:
  • Phone: 303-312-2217
  • Fax: 303-293-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW.00992977
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: