MALLORY JEAN CROUCH (NPI# 1124477427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124477427 |
| Entity Type | Individual |
| Full Name | MALLORY JEAN CROUCH |
| Credential | LCSW, LAC |
| Practice Address |
3720 Revere St. Ste. B Denver CO 80239 |
| Mailing Address |
3720 Revere St Ste. B Denver CO 80239 |
| Practice Telephone | 7205032405 |
| Mailing Telephone | 7205032405 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0000701 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
09923671 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12605 E 16th Ave, Aurora, CO 800452545 | 7208480000 |
| Street Address |
3720 REVERE ST. STE. B |
| City | DENVER |
| State | CO |
| Zip Code | 80239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| 1194713164 | Hope C Beatte | Psychiatry & Neurology | 3600 Havana, Denver Women's Correctional Facility, Denver, CO 80239 | 2005-10-12 |
| Find all providers in zip 80239 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205704 | Renaissance Therapy Denver | Social Worker | 4495 Hale Pkwy Ste 114, Denver, CO 80220-6203 | 2020-11-06 |
| 1891396693 | Tides Changing Therapy | Social Worker | 2949 Federal Blvd # 205, Denver, CO 80211-3741 | 2020-11-06 |
| 1992305791 | Heather's Healing Therapy | Social Worker | 3550 S Harlan St Unit 267, Denver, CO 80235-2712 | 2020-10-30 |
| 1801495288 | Marissa Schnell | Social Worker | 8012 Norman Pointe Dr, Denver, NC 28037-7700 | 2020-10-18 |
| 1417563123 | Joy As Resistance | Social Worker | 7779 Martin Luther King Blvd, Denver, CO 80238-3802 | 2020-09-17 |
| 1902411572 | Destinee Ortega | Social Worker | 2985 Grove St, Denver, CO 80211-3749 | 2020-09-10 |
| 1184235947 | Croswaite Counseling, Pllc | Social Worker | 1928 E 18th Ave, Denver, CO 80206-1108 | 2020-08-13 |
| 1477164382 | Croswaite Counseling, Pllc | Social Worker | 1220 S Parker Rd Ste 201a, Denver, CO 80231-2115 | 2020-08-13 |
| 1952911125 | Bridget Camacho | Social Worker | 191 S Emerson St, Denver, CO 80209-2209 | 2020-08-03 |
| 1588273957 | Center for Valued Living, Pllc | Social Worker | 1355 S Colorado Blvd Ste C810, Denver, CO 80222-3351 | 2020-07-30 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.