DR. MIMI CROWELL


Address: 80 5th Ave Rm 902, New York, NY 10011-8018
Phone: 2129898492

DR. MIMI CROWELL (NPI# 1396860490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396860490
Entity Type Individual
Full Name DR. MIMI CROWELL
Credential PH.D.
Practice Address 80 5th Ave Rm 902
New York
NY 10011-8018
Mailing Address 30 5th Ave Apt 6f
New York
NY 10011-8809
Practice Telephone 2129898492
Mailing Telephone 2124608535
Mailing Fax Number 2122605864
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R016382-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 80 5TH AVE RM 902
City NEW YORK
State NY
Zip Code 10011-8018

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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City NEW YORK
Zip Code 10011

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Dataset Information

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.

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