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NPI 1639569395

NPI 1639569395 : KRISTIE CROW LCSW : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1639569395
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIE CROW LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2015
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    780 LYNNHAVEN PKWY STE 400 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-7332
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    Country              |    US
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    Telephone            |    571-207-6246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    780 LYNNHAVEN PKWY STE 400 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-7332
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    Country              |    US
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    Telephone            |    571-207-6246
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C016733
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    2022015605
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    4806
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    License Number State |    HI
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    0904014884
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    License Number State |    VA
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