Provider Demographics
NPI:1841339561
Name:CREWS, KAREN KAY (LBSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:CREWS
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 APRIL WIND DR S
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5966
Mailing Address - Country:US
Mailing Address - Phone:936-203-5078
Mailing Address - Fax:936-588-1636
Practice Address - Street 1:89 APRIL WIND DR S
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5966
Practice Address - Country:US
Practice Address - Phone:936-203-5078
Practice Address - Fax:936-588-1636
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13716171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator