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NPI Code Detail

MEDICARE: KAITLIN ELIZABETH CROUCH

MEDICARE: KAITLIN ELIZABETH CROUCH
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 Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1427843564
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ELIZABETH CROUCH
Provider Business Mailing Address
First Line : 2202 S 11TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-3559
Country : US
Telephone Number : 402-475-5161
Fax Number :
Provider Business Practice Location Address
First Line : 2202 S 11TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-3559
Country : US
Telephone Number : 402-475-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2025
Last Update Date : 12/21/2025

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Directions to “ KAITLIN ELIZABETH CROUCH ” Practice Location

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