Imani Simone Crawford, LCSWA
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1336728864
StatusActive
Last updated in NPPESApr 2, 2021
Details
- NPI
- 1336728864
- Entity type
- Individual (NPI-1)
- Name
- Imani Simone Crawford
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2021
- Certification date
- Apr 2, 2021
- Last updated
- Apr 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P015969 | NC | Yes |
Practice location
10700 Sikes Pl Ste 325Charlotte, NC 28277-8208
Phone 704-420-0288
Mailing address
3252 Summercroft LnCharlotte, NC 28269-2226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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