Basic Information
| Provider Information | |||||||||
| NPI: | 1083783989 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CRANDELL | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | SCHERER | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSW, ACSW, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 DONS WAY | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 71913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247111 | ||||||||
| FaxNumber: | 5016205109 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 DONS WAY | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 71913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247111 | ||||||||
| FaxNumber: | 5016205109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 01/05/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 1981-C | AR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 1083783989 | 01 | ARCADIAN HEALTH PLAN | OTHER | 1093084 | 01 | AR | USA MGD CARE | OTHER | 9822101 | 01 | AR | AETNA | OTHER | 116399726 | 05 | AR | MEDICAID | 710401764 | 01 | QUAL CHOICE | OTHER | 1083783989 | 01 | UNITY MGED MH | OTHER | 400121 | 01 | AR | MHN | OTHER | 5A111 | 01 | AR | BLUE CROSS/BLUE SHIELD | OTHER | 1083783989 | 01 | AR | NOVA SYSTEMS | OTHER | 710401764 | 01 | AR | MHNET | OTHER | 710401764 | 01 | CORP HEALTH | OTHER | 710401764 | 01 | AR | UNITED BEHAVIORAL HEALTH | OTHER | 043244 | 01 | VALUE OPTIONS | OTHER | 2491283 | 01 | AR | CIGNA | OTHER |