MEDICARE: CARISA CROSBIE

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	104100000X	Social Worker	60989954	WA

General Provider Information

NPI Number	:	1144163148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISA CROSBIE

Provider Business Mailing Address
First Line	:	1231 FIGUEROA ST
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 FIGUEROA ST
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2136
Country	:	US
Telephone Number	:	509-200-7340
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ CARISA CROSBIE ” Practice Location

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