Basic Information
| Provider Information | |||||||||
| NPI: | 1922667153 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRUMMIE | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 591 E OAK ST | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287523896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284602734 | ||||||||
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| Practice Location | |||||||||
| Address1: | 486 SPAULDING RD | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287525212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286522919 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2019 | ||||||||
| LastUpdateDate: | 06/11/2019 | ||||||||
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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 | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.