MEDICARE: ROSE CRAWLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SL07302700	NJ

General Provider Information

NPI Number	:	1003762287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE CRAWLEY

Provider Business Mailing Address
First Line	:	10 AQUEDUCT PL
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2400
Country	:	US
Telephone Number	:	732-910-6402
Fax Number	:

Provider Business Practice Location Address
First Line	:	69 BROAD ST FL 2
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-1946
Country	:	US
Telephone Number	:	201-241-3598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ROSE CRAWLEY ” Practice Location

Language	Start Address	Practice Location

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