COLLEEN CROCKFORD (NPI# 1578074308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578074308 |
| Entity Type | Individual |
| Full Name | COLLEEN CROCKFORD |
| Credential | MSW, LICSW |
| Practice Address |
8421 Wayzata Blvd Golden Valley MN 55426-1352 |
| Mailing Address |
13572 Partridge Cir Nw Andover MN 55304-4290 |
| Practice Telephone | 6517143848 |
| Mailing Telephone | 6122516741 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20496 | MN | Behavioral Health & Social Service Providers |
| Street Address |
8421 WAYZATA BLVD |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679593529 | Mary Andrashko | Chiropractor | 8421 Wayzata Blvd, Ste 220, Golden Valley, MN 55426-1380 | 2006-07-20 |
| 1831547991 | Maxim Healthcare Services Inc | Home Health | 8421 Wayzata Blvd, Suite 320, Golden Valley, MN 55426-1352 | 2016-05-31 |
| 1629469903 | Elisabeth Emmerich | Counselor | 8421 Wayzata Blvd, Suite 250, Golden Valley, MN 55426-1352 | 2015-02-09 |
| 1053726117 | Bryan Jarred Cole | Marriage & Family Therapist | 8421 Wayzata Blvd, Suite 250, Golden Valley, MN 55426-1352 | 2014-06-27 |
| 1942326640 | Susan Jane Kelly | Chiropractor | 8421 Wayzata Blvd, Suite 220, Golden Valley, MN 55426-1352 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1134640477 | Koski Stark Ghodge LLC | Social Worker | 8014 Highway 55 # 515, Golden Valley, MN 55427-4712 | 2017-06-27 |
| 1215393483 | Branden David Phillips | Social Worker | 3241 Scott Ave N, Golden Valley, MN 55422-2745 | 2016-01-04 |
| 1477954709 | David Williams | Social Worker | 830 Boone Ave N, Golden Valley, MN 55427-4568 | 2014-09-05 |
| 1346678836 | Ernest Smith | Social Worker | 8401 Wayzata Blve, Suite 370, Golden Valley, MN 55426-1379 | 2013-10-22 |
| 1801135223 | Comfort Belbas | Social Worker | 6100 Golden Valley Rd, Golden Valley, MN 55422-4442 | 2013-02-05 |
| 1619132099 | Lori Ann Mitchell | Social Worker | 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | 2008-07-24 |
| 1730377698 | David Taylor Smith | Social Worker | 7215 Glenwood Ave, Golden Valley, MN 55427-4806 | 2007-10-04 |
| 1275731440 | Stephanie Ann Beckley | Social Worker | 701 Decatur Avenue North, Suite 109, Golden Valley, MN 55427 | 2007-07-10 |
| 1417089616 | Constance Joan Schweigert | Social Worker | 8421 Wayzata Blvd Ste 140, Golden Valley, MN 55426-1393 | 2007-03-12 |
| 1184772246 | Elizabeth Eileen Nager | Social Worker | 8100 Wayzata Blvd, Golden Valley, MN 55426-1338 | 2007-01-08 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on COLLEEN CROCKFORD.
| 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.