Provider Demographics
NPI:1205162179
Name:CROSIER, JAMIE L (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:CROSIER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 BELL DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-2053
Mailing Address - Country:US
Mailing Address - Phone:304-205-9327
Mailing Address - Fax:
Practice Address - Street 1:403 BELL DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-2053
Practice Address - Country:US
Practice Address - Phone:304-205-9327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040066521041C0700X
WVDP009462951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical