JASON CROWELL LADC/LMSW NPI 1184294456

NPI Information

NPI: 1184294456
Provider Name: JASON CROWELL, LADC/LMSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
226 DIXWELL AVE
NEW HAVEN, CT
ZIP 06511
Phone: (475) 224-9229
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Jason Crowell, LADC/LMSW is an addiction (substance use disorder) counselor in New Haven, CT. Jason Crowell, LADC/LMSW NPI is 1184294456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

226 DIXWELL AVE
NEW HAVEN, CT
ZIP 06511-456
Phone: (475) 224-9229
Fax: (203) 503-3442

The enumeration date for this NPI number is 6/29/2021 and was last updated on 7/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	001414	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001414	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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