Healthcare Provider Details
I. General information
NPI: 1689592248
Provider Name (Legal Business Name): CASEY CROWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 E ANTIETAM ST STE 104
HAGERSTOWN MD
21740-2608
US
IV. Provider business mailing address
324 E ANTIETAM ST STE 301
HAGERSTOWN MD
21740-5768
US
V. Phone/Fax
- Phone: 240-203-6160
- Fax:
- Phone: 301-791-3087
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 26191 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: