NPI 1326198094 · live from the CMS NPI Registry
Mary Rogers Aldred-Crouch, MSW, MPH, LICSW, MAC
Social Worker, Clinical in Charleston, WV. National Provider Identifier 1326198094, active.
NPI record
| NPI | 1326198094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1 Kenton Dr Ste 200, Charleston, WV 25311 |
| Practice phone | 304-513-3495 |
| Mailing address | 1005 White Willow Way, Morgantown, WV 26505 |
| Enumerated | January 12, 2007 |
| Last updated | April 10, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 510829 |
| Social Worker, Clinical primary | 1041C0700X | DP00942200 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.