MEDICARE: SHERI ANN CROWLEY 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
1	1041C0700X	Clinical Social Worker	44SC04639600	NJ

General Provider Information

NPI Number	:	1902540271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI ANN CROWLEY LCSW

Provider Business Mailing Address
First Line	:	51 VALERIE CT
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-7190
Country	:	US
Telephone Number	:	848-218-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 BETHEL RD
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-2189
Country	:	US
Telephone Number	:	609-788-4698
Fax Number	:

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

Provider Enumeration Date	:	04/23/2022
Last Update Date	:	04/23/2022

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