Provider Demographics
NPI:1164451506
Name:CREWS, NANCY M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:M
Last Name:CREWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 RIPPLE WATER RUN
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-7323
Mailing Address - Country:US
Mailing Address - Phone:678-380-8291
Mailing Address - Fax:
Practice Address - Street 1:4851 LULA ST NW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3850
Practice Address - Country:US
Practice Address - Phone:678-697-6049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA33611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical