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NPI Code Detail

MEDICARE: DAVID P CRICHTON LCSW

MEDICARE:   DAVID P CRICHTON  LCSW
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
11041C0700XClinical Social WorkerC005773NC
2101YA0400XAddiction (Substance Use Disorder) Counselor0067772NM
31041C0700XClinical Social WorkerI-1128NM

General Provider Information

NPI Number : 1053449322
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID P CRICHTON LCSW
Provider Business Mailing Address
First Line : 3050 11TH AVENUE DR SE
Second Line :
City : HICKORY
State : NC
Zip : 28602-8336
Country : US
Telephone Number : 828-695-5900
Fax Number : 828-695-4256
Provider Business Practice Location Address
First Line : 2415A MORGANTON BLVD SW
Second Line :
City : LENOIR
State : NC
Zip : 28645-9691
Country : US
Telephone Number : 828-757-5685
Fax Number : 828-757-5681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 08/27/2007

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Directions to “ DAVID P CRICHTON LCSW” Practice Location

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