Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295222859 Individual Practitioner Male Practitioner

Donovan Shane Crisp , AA

Social Worker • Mount Vernon, OH

Professional Overview & Biography Verified Profile Summary

Donovan Crisp, AA is a registered healthcare professional specializing in Social Worker in Mount Vernon, OH. Practice services are available at 8402 BLACKJACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8402 Blackjack Rd

Mount Vernon, OH 430509193

Telephone 7403970442
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mount Vernon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Mount Vernon, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.2309720

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Judy Wilson , MSW, LISW

Social Worker - Clinical

NPI 1043239379

Master of Social Work, Licensed Independent Social Worker

NPI 1073071809

Licensed Social Worker

Darlene Kurth , LSW

Social Worker - Clinical

NPI 1083232458

Licensed Social Worker

Darcy Riley

Case Manager/Care Coordinator

NPI 1114429388
Stephanie Newsome , PMHNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114860970

PMHNPC

Rachel Wyatt

Case Manager/Care Coordinator

NPI 1134655475

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 13, 2023

Registered at 8402 BLACKJACK RD, MOUNT VERNON, OH 430509193 (Tel: 7403970442)

📍
Updated Business Mailing Address September 13, 2023

Registered at 8402 BLACKJACK RD, MOUNT VERNON, OH 430509193 (Tel: 7403970442)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2023

Social Worker (License #S.2309720 in OH)

NPI Profile Active April 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2018

Registered at 445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 430853192 (Tel: 6147367837)

📍
Updated Business Mailing Address April 19, 2018

Registered at 445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 430853192 (Tel: 6147367837)

👤
Provider Name / Credentials Updated April 19, 2018

Recorded as DONOVAN CRISP, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration April 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295222859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2018
Last Update: September 13, 2023
Sole Proprietor: No

Mailing Address

8402 Blackjack Rd

Mount Vernon, OH 430509193

Phone: 7403970442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.