Imelda Jean Crothers, LCSW
Social Worker, Clinical in Belton, TX. Individual provider (NPI-1).
NPI number1982135059
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1982135059
- Entity type
- Individual (NPI-1)
- Name
- Imelda Jean Crothers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2017
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW61626650 | WA | Yes |
| 1041C0700X | Social Worker, Clinical | 55289 | TX |
Practice location
52 Richland DrBelton, TX 76513-5769
Phone 254-654-0055 · Fax 800-747-3074
Mailing address
100 N Howard St Ste RSpokane, WA 99201-0508
Phone 254-654-0055
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