NPI 1497326052

Nicole Christine Crockett, LCSW

Practitioner Clinical Social Worker Pittsfield, IL

Practice location

Address: 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300
Phone: (217) 285-4436
Fax: (217) 285-2804
Mailing address: 700 SE Cross St, Mt Sterling, IL 62353-1561

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 150104593 (IL)

Other Social Worker providers in Illinois →

Registry record

NPI: 1497326052
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2021
Record last updated: 25 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.