Summer Storm Crouch, LISW
Social Worker, Clinical in Willoughby, OH. Individual provider (NPI-1).
NPI number1306677877
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1306677877
- Entity type
- Individual (NPI-1)
- Name
- Summer Storm Crouch
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2304823 | OH | Yes |
Practice location
35000 Kaiser CtWilloughby, OH 44094-3382
Phone 440-269-4600 · Fax 216-229-2997
Mailing address
35000 Kaiser CtWilloughby, OH 44094-3382
Phone 440-269-4600 · Fax 216-229-2997
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