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

MS. Carrie Caroline Crocker, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1972657187

MS. Carrie Caroline Crocker, MSW, LCSW is a Clinical Social Worker in Mount Vernon, Illinois. Qualified in 2003, 23 years ago. Practices with Dynamic Counseling and Consultation Services, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4202 Williamson Pl Ste 1
Mount Vernon, IL 62864-6760
Phone: (618) 816-1224
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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 · Licence 2003032196 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149016386 (IL)

Record details

NPI number1972657187
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Dynamic Counseling And Consultation Services — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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