Provider Demographics
NPI:1346594025
Name:CROWE, ANNE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:CROWE
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 1:6431 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3520
Mailing Address - Country:US
Mailing Address - Phone:312-307-5191
Mailing Address - Fax:
Practice Address - Street 1:6431 32ND ST
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3520
Practice Address - Country:US
Practice Address - Phone:312-307-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0031931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical