Mrs Malissa Kaye Crowe, LCSW | |
120 Sagamore Pkwy W, West Lafayette, IN 47906-1569 | |
(765) 491-6175 | |
(765) 743-5850 |
Full Name | Mrs Malissa Kaye Crowe |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 120 Sagamore Pkwy W, West Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114965563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34005071A (Indiana) | Primary |
Entity Name | Malissa K Crowe Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811071046 PECOS PAC ID: 2365448503 Enrollment ID: O20200922001212 |
Mailing Address | Practice Location Address |
---|---|
Mrs Malissa Kaye Crowe, LCSW 1351 S Sharon Chapel Rd, West Lafayette, IN 47906-4342 Ph: (765) 743-5850 | Mrs Malissa Kaye Crowe, LCSW 120 Sagamore Pkwy W, West Lafayette, IN 47906-1569 Ph: (765) 491-6175 |
Genevieve Judayna Elmahdi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5900 Augusta Blvd, West Lafayette, IN 47906 Phone: 765-427-0486 | |
Sally Ann Timmons, LCSW, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-404-6431 Fax: 765-477-7843 | |
Mr. Christopher Hutcheson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Foundry Dr Ste 1200, West Lafayette, IN 47906 Phone: 765-299-6807 Fax: 765-637-7402 | |
Ms. Gwenda Sue Eiler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Stadium Mall Dr., Purdue Univeristy Student Health Center, West Lafayette, IN 47907 Phone: 765-494-6995 Fax: 765-496-2139 | |
Mr. Ryaan J Mansouri, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Win Hentschel Blvd Ste 222, West Lafayette, IN 47906 Phone: 765-237-9091 Fax: 765-374-2752 | |
Cydney Woolley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 3rd St Bldg Room1120, West Lafayette, IN 47907 Phone: 765-496-3004 |