Provider Demographics
NPI:1083783989
Name:CRANDELL, MICHELLE SCHERER (MSW, ACSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:SCHERER
Last Name:CRANDELL
Suffix:
Gender:F
Credentials:MSW, ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 DONS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-624-7111
Mailing Address - Fax:501-620-5109
Practice Address - Street 1:125 DONS WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-624-7111
Practice Address - Fax:501-620-5109
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1981-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083783989OtherARCADIAN HEALTH PLAN
AR1093084OtherUSA MGD CARE
AR9822101OtherAETNA
AR116399726Medicaid
710401764OtherQUAL CHOICE
1083783989OtherUNITY MGED MH
AR400121OtherMHN
AR5A111OtherBLUE CROSS/BLUE SHIELD
AR1083783989OtherNOVA SYSTEMS
AR710401764OtherMHNET
710401764OtherCORP HEALTH
AR710401764OtherUNITED BEHAVIORAL HEALTH
043244OtherVALUE OPTIONS
AR2491283OtherCIGNA
AR116399726Medicaid
AR2491283OtherCIGNA
710401764OtherQUAL CHOICE
$$$$$$$$$OtherTRICARE