Provider Demographics
NPI:1831169655
Name:CROW, DANA WEST (LCSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:WEST
Last Name:CROW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-637-7300
Mailing Address - Fax:252-637-1771
Practice Address - Street 1:2800 VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-637-7300
Practice Address - Fax:252-637-1771
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86613104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003160Medicaid
86613OtherBCBS OF NC
NC2868121Medicaid
86613OtherNC HEALTH CHOICE
264080OtherMENTAL HEALTH NETWORK
264080OtherMENTAL HEALTH NETWORK
NC2868121Medicaid