Crouch, Jeffrey Stewart

Crouch, Jeffrey Stewart is an sole proprietor health care provider with primary practice located at 10632 Little Patuxent Pkwy Suite 313, Columbia MD 21044-3273. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Crouch, Jeffrey Stewart can be contacted via phone (443) 538-1247.

Contact Information

Primary practice address
10632 Little Patuxent Pkwy Suite 313 Columbia MD 21044-3273
Phone: (443) 538-1247
Fax: (443) 276-6640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06143 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X 06143 Maryland

Profile Details

NPI number 1326080136
LBN Legal business name Crouch, Jeffrey Stewart
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jan 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326080136 NPPES
Maryland MEDICAID 215051400

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