Crouse-Novak, Mary

Crouse-Novak, Mary is an sole proprietor health care provider with primary practice located at 460 Market St Suite 223, Williamsport PA 17701-6385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crouse-Novak, Mary can be contacted via phone (570) 505-1202.

Contact Information

Primary practice address
460 Market St Suite 223 Williamsport PA 17701-6385
Phone: (570) 505-1202
Fax: (570) 651-9250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW-012345 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW-012345 Pennsylvania

Profile Details

NPI number 1376521195
LBN Legal business name Crouse-Novak, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated May 29th, 2012 - about 14 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 1376521195 NPPES
Pennsylvania Other 162951 VALUE OPTIONS
Pennsylvania Other 2013061 VALUE OPTIONS
Pennsylvania Other 7466214 VALUE OPTIONS
Pennsylvania Other 101561599 VALUE OPTIONS
Pennsylvania Other 828889 VALUE OPTIONS
Pennsylvania Other 000178272 VALUE OPTIONS

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