Healthcare Provider Details

I. General information

NPI: 1609367002
Provider Name (Legal Business Name): ALISON SARA CRANE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 PRESTONS STATION DR
HIXSON TN
37343-3300
US

IV. Provider business mailing address

3024 PRESTONS STATION DR
HIXSON TN
37343-3300
US

V. Phone/Fax

Practice location:
  • Phone: 423-421-8449
  • Fax:
Mailing address:
  • Phone: 423-421-8449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9549
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6614
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: