Provider Demographics
NPI:1740349604
Name:CRAUSMAN, WILLAIM I (LICSW)
Entity type:Individual
Prefix:DR
First Name:WILLAIM
Middle Name:I
Last Name:CRAUSMAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 TAUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-1611
Mailing Address - Country:US
Mailing Address - Phone:508-336-7802
Mailing Address - Fax:508-336-7934
Practice Address - Street 1:1009 TAUNTON AVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-1611
Practice Address - Country:US
Practice Address - Phone:508-336-7802
Practice Address - Fax:508-336-7934
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1076161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1852507Medicaid
MA1852507Medicaid