MS. CARRIE CAROLINE CROCKER MSW, LCSW
NPI 1972657187
Social Worker - Clinical in Mount Vernon, IL
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Carrie Crocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MOUNT VERNON, IL 62864
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.
Which organization bills Medicare for Carrie Crocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Crocker reassigns Medicare benefits to Dynamic Counseling And Consultation Services (Mount Vernon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Crocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 21 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.
# Ms. Carrie Caroline Crocker, MSW, LCSW · NPI 1972657187
Clinical provider in Mount Vernon, Illinois. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1972657187 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2003032196 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864-6760
- **Phone:** (618) 816-1224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dynamic Counseling And Consultation Services (NPI 1457771677, Mount Vernon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 27, 2025
- **Other identifiers:** Medicaid 497312108 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1972657187) · Data from the CMS NPPES public registry.