Healthcare Provider Details

I. General information

NPI: 1841591088
Provider Name (Legal Business Name): ARJON CRAWFORD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3170 37TH ST APT 1F
ASTORIA NY
11103-3961
US

IV. Provider business mailing address

3170 37TH ST APT 1F
ASTORIA NY
11103-3961
US

V. Phone/Fax

Practice location:
  • Phone: 917-369-0874
  • Fax:
Mailing address:
  • Phone: 917-369-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number083975
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: