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MERRI CRITTLE NPI 1356017990


NPI Information

NPI: 1356017990
Provider Name: MERRI CRITTLE
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Individual
Address:
630 W ADAMS ST STE 403
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 966-9417
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Merri Crittle is a case manager care coordinator in Jacksonville, FL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. Merri Crittle NPI is 1356017990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 W ADAMS ST STE 403
JACKSONVILLE, FL
ZIP 32204-645
Phone: (904) 966-9417
Fax: (904) 341-5505

The enumeration date for this NPI number is 8/23/2021 and was last updated on 4/11/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LIC-1047667FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)FLORIDANo
3101YM0800XCounselorMental HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5171M00000XCase Manager/Care CoordinatorFLORIDAYes
6222Q00000XDevelopmental TherapistFLORIDANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LIC-1047667MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.