Stacie Crochet, is a
Social Worker - Clinical based in Woodland, Washington. Stacie Crochet is licensed to practice in Washington (license number LW60514575) and her current practice location is
339 Bozarth Ave, Woodland, Washington. She can be reached at her office (for appointments etc.) via phone at
(512) 921-5925.
NPI number for Stacie Crochet is 1740295153 and her current mailing address is 4949 Lewis River Rd, Woodland, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740295153.
Healthcare Provider's Profile
Full Name | Stacie Crochet |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 339 Bozarth Ave, Woodland, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740295153
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 01/21/2017
Medical Identifiers
Medical identifiers for Stacie Crochet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740295153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 22050 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | LW60514575 (Washington) | Primary |
1041C0700X | Social Worker - Clinical | L6518 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Crochet is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacie Crochet, 4949 Lewis River Rd, Woodland, WA 98674-9305 Ph: (512) 921-5925 | Stacie Crochet, 339 Bozarth Ave, Woodland, WA 98674-8424 Ph: (512) 921-5925 |
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