Healthcare Provider Details

I. General information

NPI: 1528185493
Provider Name (Legal Business Name): ESTHER M CROOKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 05/20/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 OLD CORVALLIS RD STE K
HAMILTON MT
59840-3213
US

IV. Provider business mailing address

1889 MICHAELS WAY
CORVALLIS MT
59828-9591
US

V. Phone/Fax

Practice location:
  • Phone: 406-802-2064
  • Fax:
Mailing address:
  • Phone: 530-521-6206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20309
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW64011
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number38918
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: