Individual provider · Type 1 NPI
Shadora Delaine Crockett, LMSW, LSW
Clinical Social Worker · Holland, OH
Practice location
1905 Perrysburg Holland Rd
Holland, OH 43528-9582
Mailing address
2005 Ashland Ave
Toledo, OH 43620-1703
Other practice locations
- 2005 Ashland Ave, Toledo, OH 43620-1703 · (419) 841-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | S.2106077 (OH) |
Clinical Social Worker: 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 interpers…
5 other providers at this address
- Lutheran Homes Society Inc.Adolescent and Children Mental Health Clinic/Center Holland, OH NPI 1295325942
- Lutheran Homes Society, Inc.Emotionally Disturbed Childrens' Residential Treatment Facility Holland, OH NPI 1245262799
- Jacklyn Elaine Petersen, LPNLicensed Practical Nurse Holland, OH NPI 1518178870
- Jessica D. Queen, LPNLicensed Practical Nurse Holland, OH NPI 1871162107
- Johnathan Curtis NicholsCase Manager/Care Coordinator Holland, OH NPI 1245190172
Other clinical social worker providers in Holland
About NPI 1174008726
Shadora Delaine Crockett, LMSW, LSW's National Provider Identifier is 1174008726, issued on Sep 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holland, OH. The record was last updated on Oct 11, 2024.