Dominique Crawford, MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Concord, North Carolina. Her current practice location is
710 Cheswick Ave, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 629-8756.
Dominique Crawford is licensed to practice in North Carolina (license number C016592) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770156556.
Healthcare Provider's Profile
Full Name | Dominique Crawford |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 710 Cheswick Ave, Concord, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770156556
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 06/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769827989
- Enrollment ID: I20240228000177
Medical Identifiers
Medical identifiers for Dominique Crawford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770156556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27430 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C016592 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dominique Crawford allows following entities to bill medicare on her behalf.
Entity Name | Carolina Outreach, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083723266 PECOS PAC ID: 0446449748 Enrollment ID: O20110118000335 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Crawford is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Crawford, MSW, LCSW, LCAS 710 Cheswick Ave, Concord, NC 28025-7079 Ph: (704) 629-8756 | Dominique Crawford, MSW, LCSW, LCAS 710 Cheswick Ave, Concord, NC 28025-7079 Ph: (704) 629-8756 |
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