Individual
DR. TREVOR GATES-CRANDALL
Active
Individual
DR. TREVOR GATES-CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2024-0474
NM
101YM0800X
Mental Health Counselor
4225
NE
1041C0700X
Clinical Social Worker
080344
NY
1041C0700X
Clinical Social Worker
089.0136663
VT
1041C0700X
Clinical Social Worker
0904020402
VA
1041C0700X
Clinical Social Worker
149013034
IL
1041C0700X
Clinical Social Worker
40424
TX
1041C0700X
Clinical Social Worker
4225
NE
1041C0700X
Clinical Social Worker
Primary
C11795
NM
1041C0700X
Clinical Social Worker
CSW.09927211
CO
1041C0700X
Clinical Social Worker
ISW04740
RI
Other
Enumeration date
06/18/2006
Last updated
07/14/2026
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