HAZLE LAVERNE CROCKETT (NPI# 1619373057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619373057 |
| Entity Type | Individual |
| Full Name | HAZLE LAVERNE CROCKETT |
| Practice Address |
3301 E Pinchot Ave Phoenix AZ 85018-6807 |
| Mailing Address |
202 E Earll Dr Suite 200 Phoenix AZ 85012-2647 |
| Practice Telephone | 6025995616 |
| Practice Fax Number | 6029573636 |
| Mailing Telephone | 6025995616 |
| Mailing Fax Number | 6029573636 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3301 E PINCHOT AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306928932 | Lifewell Behavioral Wellness | Substance Abuse Rehabilitation Facility | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2006-10-20 |
| 1811395189 | Andrew Smith | Case Manager/Care Coordinator | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-12-18 |
| 1447657127 | Ruth Junek Wheeler | Case Manager/Care Coordinator | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-25 |
| 1225434228 | Katherine Cheryl Nisbet | Counselor | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-18 |
| 1376949511 | James Adolph Sabata | Case Manager/Care Coordinator | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-17 |
| 1730585167 | Susan Dale Heehler | Social Worker | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-12 |
| 1295131787 | Esperanza Rebecca Haynes | Case Manager/Care Coordinator | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-10 |
| 1588060123 | Vanita J Harris | Community Health Worker | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-10 |
| 1679979488 | Terry Jean Bechtold | Case Manager/Care Coordinator | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-11-06 |
| 1346642204 | Connie Nies | Registered Nurse | 3301 E Pinchot Ave, Phoenix, AZ 85018-6807 | 2014-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1215592746 | Debra Ann Beldone | Case Manager/Care Coordinator | 4435 N 21st Pl, Phoenix, AZ 85016-5559 | 2019-05-09 |
| 1720553753 | Cynthia Marie Quinn | Case Manager/Care Coordinator | 301 W Jefferson St Ste 3200, Phoenix, AZ 85003-2143 | 2018-10-05 |
| 1013496199 | Uptown Medical LLC | Case Manager/Care Coordinator | 3724 N 3rd St Ste 300, Phoenix, AZ 85012-2036 | 2018-08-09 |
| 1518451251 | Advanced Behavioral Health Services, LLC | Case Manager/Care Coordinator | 9417 N 17th Pl, Phoenix, AZ 85020-2310 | 2018-06-17 |
| 1255835997 | Miracle On 29th Street | Case Manager/Care Coordinator | 18210 N 29th St, Phoenix, AZ 85032-1103 | 2018-03-19 |
| 1538662077 | Maryvale Medical LLC | Case Manager/Care Coordinator | 7141 W Thomas Rd Ste 101, Phoenix, AZ 85033-5518 | 2018-03-12 |
| 1265930614 | Desert Ridge Medical LLC | Case Manager/Care Coordinator | 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050-7500 | 2018-01-30 |
| 1477098671 | Joyce Ann Leflore | Case Manager/Care Coordinator | 4424 E Baseline Rd Apt 1144, Phoenix, AZ 85042-7410 | 2016-12-23 |
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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.