Provider Demographics
NPI:1306651633
Name:CROWE, KRISTEN PAMELA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:PAMELA
Last Name:CROWE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:PAMELA
Other - Last Name:SHEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 DELL DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3126
Mailing Address - Country:US
Mailing Address - Phone:617-283-5231
Mailing Address - Fax:
Practice Address - Street 1:260 FORDHAM RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2170
Practice Address - Country:US
Practice Address - Phone:781-620-2142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2291241041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool