Provider Demographics
NPI:1316318207
Name:CROPP, DAVID (MSW, ASW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:CROPP
Suffix:
Gender:M
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3802 MIRA LOMA DR
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-7731
Mailing Address - Country:US
Mailing Address - Phone:916-812-7878
Mailing Address - Fax:
Practice Address - Street 1:3802 MIRA LOMA DR
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7731
Practice Address - Country:US
Practice Address - Phone:916-812-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-17
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW681961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical