Individual provider · Type 1 NPI

Jesse M. Crowder

Clinical Social Worker · Lakewood, OH

NPI number 1417458134 Active

Practice location

14805 Detroit Ave Ste 200C
Lakewood, OH 44107-3921

Other practice locations

  • 1405 Earl L Core Rd, Morgantown, WV 26505-5885 · (216) 223-8083

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.162220 (OH)
Social Worker 104100000XS.2106128 (OH)
Clinical Social Worker Primary 1041C0700XI.2304984-SUPV (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…

3 other providers at this address

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About NPI 1417458134

Jesse M. Crowder's National Provider Identifier is 1417458134, issued on Feb 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, OH. The record was last updated on May 13, 2026.