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CARL CROCKETT M.A
NPI 1912025586
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since March 26, 2007
882 OAKMAN BLVD STE D, DETROIT, MI 48238(313) 961-7990(313) 883-6261 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Carl Crockett M.a NPPES

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

CARL CROCKETT M.A (NPI 1912025586) is an individual addiction (substance use disorder) provider in Detroit, Michigan, licensed in Michigan (MA) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1912025586
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCARL CROCKETTCredential: M.A
Location Address882 OAKMAN BLVD STE DDetroit, MI 48238-4019
Mailing Address882 Oakman Blvd Ste DDetroit, MI 48238-4019 · (313) 961-7990 · Fax (313) 883-6261
Phone(313) 961-7990
Fax(313) 883-6261
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1912025586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · MA
882 OAKMAN BLVD STE D, Detroit, MI 48238
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRINIA GRAYSON
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-4890
AMANDA MARIE LAYNE LLMSW
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
MRS. CYNTHIA MARIE GREENE MA LLPC
Counselor (Mental Health)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-4890
TEQUILLA CATRICE ROOKS MA, LLPC
Counselor (Professional)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (800) 395-3223
SHELLEY MARIE DRUMM LMSW
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
AUTUMN NICOLE WHITESIDE LLMSW
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
TRACEY LOUISE GREEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
BRITTANY ARIEL LEFLORE
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990

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 Crockett's NPI number?

The NPI number for Carl Crockett is 1912025586. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Carl Crockett located?

Carl Crockett practices at 882 Oakman Blvd Ste D, Detroit, MI 48238. The listed phone number is (313) 961-7990.

What is Carl Crockett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carl Crockett was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.