Tai Hesia Crayton, LCSW
Social Worker, Clinical in Merrillville, IN. Individual provider (NPI-1).
NPI number1902437486
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1902437486
- Entity type
- Individual (NPI-1)
- Name
- Tai Hesia Crayton
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34008486A | IN | Yes |
| 1041C0700X | Social Worker, Clinical | 149.021877 | IL |
Other names
- Tai Crayton (Other Name)
Practice location
5401 Broadway Ste FMerrillville, IN 46410-1684
Phone 219-757-1257
Mailing address
2743 W 85th AveMerrillville, IN 46410-7294
Phone 219-757-1257
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