| Marjorie R Crowe Msw Corp | |
|
1 Belle Fred Dr Randolph VT 05060-1301 | |
| (802) 728-3018 | |
| Not Available |
| Full Name | Marjorie R Crowe Msw Corp |
|---|---|
| Speciality | Social Worker |
| Location | 1 Belle Fred Dr, Randolph, Vermont |
| Authorized Official Name and Position | Marjorie R Crowe (OWNER) |
| Authorized Official Contact | 8027283018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie R Crowe Msw Corp 1 Belle Fred Dr Randolph VT 05060-1301 Ph: (802) 728-3018 | Marjorie R Crowe Msw Corp 1 Belle Fred Dr Randolph VT 05060-1301 Ph: (802) 728-3018 |
| NPI Number | 1871044982 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Medicare PECOS PAC ID | 7719266345 |
|---|---|
| Medicare Enrollment ID | O20161122000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871044982 | NPI | - | NPPES |
| 1007980 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890000220 (Vermont) | Primary |
| Provider Name | Marjorie R Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639189137 PECOS PAC ID: 9436165149 Enrollment ID: I20060303000291 |
Clara Martin Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Main Street, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Jessica K. Wright, Lcmhc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 28 Pleasant St, Randolph, VT 05060 Phone: 802-505-8596 | |
Clara Martin Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Clara Martin Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |