Crawford, Allycia Nicole
Crawford, Allycia Nicole is an individual health care provider with primary practice located at 3785 New Town Blvd , Saint Charles MO 63301-4358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crawford, Allycia Nicole can be contacted via phone (888) 403-1071.Contact Information
Primary practice address
3785 New Town Blvd
Saint Charles MO 63301-4358
Phone: (888) 403-1071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2019030579 | Missouri |
Profile Details
| NPI number | 1992257968 |
|---|---|
| LBN Legal business name | Crawford, Allycia Nicole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2016 |
| Last updated | Aug 11th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992257968 | NPPES |
| Missouri | MEDICAID | 1992257968 |
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