Ms Tiara Nicole Crutchfield, is a
Social Worker based in Southfield, Michigan. Ms Tiara Nicole Crutchfield is licensed to practice in * (Not Available) (license number ) and her current practice location is
17320 W 12 Mile Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 727-3456.
NPI number for Ms Tiara Nicole Crutchfield is 1760151765 and her current mailing address is 29780 Wildbrook Dr, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760151765.
Healthcare Provider's Profile
| Full Name | Ms Tiara Nicole Crutchfield |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 17320 W 12 Mile Rd, Southfield, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760151765
- Provider Enumeration Date: 09/13/2021
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Ms Tiara Nicole Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760151765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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. Ms Tiara Nicole Crutchfield 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 |
|---|
Ms Tiara Nicole Crutchfield,
29780 Wildbrook Dr,
Southfield, MI 48034-7615
Ph: (248) 974-3618 | Ms Tiara Nicole Crutchfield,
17320 W 12 Mile Rd,
Southfield, MI 48076-2100
Ph: (248) 727-3456 |
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