Provider Demographics
NPI:1265590020
Name:CROWLEY, CALMA (LCSW)
Entity type:Individual
Prefix:
First Name:CALMA
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CALI
Other - Middle Name:
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:301 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072
Mailing Address - Country:US
Mailing Address - Phone:207-284-8551
Mailing Address - Fax:207-284-8551
Practice Address - Street 1:301 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072
Practice Address - Country:US
Practice Address - Phone:207-284-8551
Practice Address - Fax:207-284-8551
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC69111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME04363411301OtherHARVARD PILGRIM
ME043377OtherANTHEM
MM9560Medicare ID - Type Unspecified