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MS. CARRIE CAROLINE CROCKER MSW, LCSW
NPI 1972657187
Social Worker - Clinical in Mount Vernon, IL

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
4202 WILLIAMSON PL STE 1, MOUNT VERNON, IL 62864(618) 816-1224 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carrie Caroline Crocker Msw, Lcsw NPPES

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

MS. CARRIE CAROLINE CROCKER MSW, LCSW (NPI 1972657187) is an individual clinical provider in Mount Vernon, Illinois, licensed in Missouri (2003032196) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972657187
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CARRIE CAROLINE CROCKERCredential: MSW, LCSW
Location Address4202 WILLIAMSON PL STE 1Mount Vernon, IL 62864-6760
Mailing Address1111 S Lincoln Ave Unit 1326O Fallon, IL 62269-5165 · (618) 816-1224 · Fax (800) 335-4761
Phone(618) 816-1224
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1972657187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MO · 2003032196✔ Licensed in IL · 149016386
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.
4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864
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Other Identifiers 1

Medicaid497312108MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Carrie Caroline Crocker Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002947017
PECOS Enrollment IDI20151124000336
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DYNAMIC COUNSELING AND CONSULTATION SERVICES
Social Worker (Clinical)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224
KRISTA BARBER LPC, ASOTP
Counselor (Professional)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224
RAQUEL PULLIAM
Social Worker
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224

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 Carrie Crocker's NPI number?

The NPI number for Carrie Crocker is 1972657187. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Carrie Crocker located?

Carrie Crocker practices at 4202 Williamson Pl Ste 1, Mount Vernon, IL 62864. The listed phone number is (618) 816-1224.

What is Carrie Crocker's specialty?

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

Is Carrie Crocker enrolled in Medicare?

Yes. Carrie Crocker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carrie Crocker was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.