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CARL CROCKHAM
NPI 1174938518
Social Worker - Clinical in North Las Vegas, NV

Active since June 24, 2014
4325 W ROME BLVD APT 1184, NORTH LAS VEGAS, NV 89084(702) 561-0866 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carl Crockham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL CROCKHAM (NPI 1174938518) is an individual clinical provider in North Las Vegas, Nevada and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1174938518
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARL CROCKHAM
Location Address4325 W ROME BLVD APT 1184North Las Vegas, NV 89084-5409
Mailing Address4325 W Rome Blvd Apt 1184North Las Vegas, NV 89084-5409 · (702) 561-0866
Phone(702) 561-0866
Sole ProprietorYes
Enumeration DateJune 24, 2014
✔ NPI 1174938518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4325 W ROME BLVD APT 1184, North Las Vegas, NV 89084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Crockham's NPI number?

The NPI number for Carl Crockham is 1174938518. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Carl Crockham located?

Carl Crockham practices at 4325 W Rome Blvd Apt 1184, North Las Vegas, NV 89084. The listed phone number is (702) 561-0866.

What is Carl Crockham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carl Crockham was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.