Provider Demographics
NPI:1952549628
Name:CRABTREE, ELIZABETH A (CSW-PIP, LCSW, BCD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:CSW-PIP, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 603
Mailing Address - Street 2:
Mailing Address - City:LENNOX
Mailing Address - State:SD
Mailing Address - Zip Code:57039-0603
Mailing Address - Country:US
Mailing Address - Phone:605-941-4975
Mailing Address - Fax:
Practice Address - Street 1:46756 278TH ST
Practice Address - Street 2:
Practice Address - City:LENNOX
Practice Address - State:SD
Practice Address - Zip Code:57039-5341
Practice Address - Country:US
Practice Address - Phone:605-702-4633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056951041C0700X
MN187291041C0700X
TNLSW00000077271041C0700X
MTBBH-LCSW-LIC-235571041C0700X
SD29131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical