Provider Demographics
NPI:1558062414
Name:CRUTCHFIELD, SCOTT ANDREW
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ANDREW
Last Name:CRUTCHFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 ADAMSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1805
Mailing Address - Country:US
Mailing Address - Phone:704-607-2988
Mailing Address - Fax:
Practice Address - Street 1:13 ADAMSWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1805
Practice Address - Country:US
Practice Address - Phone:704-607-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical