Mallory Jean Crouch, LCSW, LAC is a
Social Worker - Clinical based in Denver, Colorado. Mallory Jean Crouch is licensed to practice in Colorado (license number 09923671) and her current practice location is
3720 Revere St., Ste. B, Denver, Colorado. She can be reached at her office (for appointments etc.) via phone at
(720) 503-2405.
NPI number for Mallory Jean Crouch is 1124477427 and her current mailing address is 3720 Revere St, Ste. B, Denver, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124477427.
Healthcare Provider's Profile
Full Name | Mallory Jean Crouch |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3720 Revere St., Denver, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124477427
- Provider Enumeration Date: 06/07/2016
- Last Update Date: 05/23/2019
Medical Identifiers
Medical identifiers for Mallory Jean Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124477427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0000701 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 09923671 (Colorado) | Primary |
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. Mallory Jean Crouch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Jean Crouch, LCSW, LAC 3720 Revere St, Ste. B, Denver, CO 80239 Ph: (720) 503-2405 | Mallory Jean Crouch, LCSW, LAC 3720 Revere St., Ste. B, Denver, CO 80239 Ph: (720) 503-2405 |
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