Healthcare Provider Details

I. General information

NPI: 1396211850
Provider Name (Legal Business Name): ELLEN A CROZIER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CROSS ST
HAMILTON MO
64644-8311
US

IV. Provider business mailing address

4090 WESTOWN PKWY STE E
WEST DES MOINES IA
50266-6760
US

V. Phone/Fax

Practice location:
  • Phone: 816-583-2713
  • Fax: 816-583-2342
Mailing address:
  • Phone: 515-216-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2014036219
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2019030408
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number099140
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: