Provider Demographics
NPI:1811474737
Name:CROSSWELL, WILLIAM J (LCSW, LCDC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:CROSSWELL
Suffix:
Gender:M
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 NUECES ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-5537
Mailing Address - Country:US
Mailing Address - Phone:830-992-5836
Mailing Address - Fax:
Practice Address - Street 1:1904 NUECES ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-5537
Practice Address - Country:US
Practice Address - Phone:830-992-5836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61050101YM0800X
TX13575101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)