Deandrea Crockwell, LCSW
Social Worker, Clinical in Fayetteville, NC. Individual provider (NPI-1).
NPI number1801422993
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1801422993
- Entity type
- Individual (NPI-1)
- Name
- Deandrea Crockwell
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2020
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C014792 | NC | Yes |
Practice location
1613 Owen DrFayetteville, NC 28304-3425
Phone 910-491-8934
Mailing address
1613 Owen DrFayetteville, NC 28304-3425
Phone 910-491-8934
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