Provider Demographics
NPI:1144608332
Name:CROOKS, ALAN ROGER JR (LCSW)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ROGER
Last Name:CROOKS
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2359 US HIGHWAY 70 SE
Mailing Address - Street 2:#357
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8300
Mailing Address - Country:US
Mailing Address - Phone:828-358-1110
Mailing Address - Fax:828-358-1110
Practice Address - Street 1:2359 US HIGHWAY 70 SE
Practice Address - Street 2:#357
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8300
Practice Address - Country:US
Practice Address - Phone:828-358-1110
Practice Address - Fax:828-358-1110
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0081331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical