Individual
JENNIFER CROASDAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E CHESTNUT ST FL 6, LOUISVILLE, KY 40202-1831
(502) 629-2806
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255534
KENTUCKY BOARD OF SOCIAL WORK
KY
Enumeration date
06/06/2012
Last updated
01/10/2025
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