Provider Demographics
NPI:1851403471
Name:CROWE, HEATHER DAWN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DAWN
Last Name:CROWE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:PA
Mailing Address - Zip Code:15663-0267
Mailing Address - Country:US
Mailing Address - Phone:724-787-6283
Mailing Address - Fax:
Practice Address - Street 1:40 HUFF AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5318
Practice Address - Country:US
Practice Address - Phone:724-787-6283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0139441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA541362OtherVALUE OPTIONS PROVIDER ID
PA541362OtherVALUE OPTIONS PROVIDER ID