Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mimi Elizabeth Crawley

Individual provider Clinical Social Worker · NPI 1639601594

Mimi Elizabeth Crawley is a Clinical Social Worker in Wilmington, North Carolina. Graduated from University of South Carolina School of Medicine in 2008, 18 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment.

Years since qualifying
18
Trained at
University of South Carolina School of Medicine
In the registry since
2017
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Practice location Address checks out

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1639601594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmington