Provider Type Icon

MRS. MARY EMMA CRENSHAW LISWLICDC NPI 1982971263


NPI Information

NPI: 1982971263
Provider Name: MRS. MARY EMMA CRENSHAW, LISW,LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5050 SOM CENTER RD APT 323-2
WILLOUGHBY, OH
ZIP 44094
Phone: (216) 773-2503
Get Directions

MRS. Mary Emma Crenshaw, LISW,LICDC is an addiction (substance use disorder) counselor in Willoughby, OH. MRS. Mary Emma Crenshaw, LISW,LICDC NPI is 1982971263. 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:

5050 SOM CENTER RD APT 323-2
WILLOUGHBY, OH
ZIP 44094-278
Phone: (216) 773-2503

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.


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
1106H00000XMarriage & Family Therapist0600066OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)976149OHIOYes

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.