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NPI Code Detail

MEDICARE: CASEY CRAWFORD LMSW

MEDICARE:   CASEY  CRAWFORD  LMSW
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
1104100000XSocial Worker129221NY

General Provider Information

NPI Number : 1174483309
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY CRAWFORD LMSW
Provider Business Mailing Address
First Line : 470 N OHIOVILLE RD
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-3212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 STONY BROOK CT
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-6519
Country : US
Telephone Number : 914-734-5248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2025
Last Update Date : 11/11/2025

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Directions to “ CASEY CRAWFORD LMSW” Practice Location

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