Provider Demographics
NPI:1861602591
Name:CRONIN, JAMES DANIEL (LCSW, LICSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DANIEL
Last Name:CRONIN
Suffix:
Gender:M
Credentials:LCSW, LICSW
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:44633 CRYSTAL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PELICAN RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56572-7519
Mailing Address - Country:US
Mailing Address - Phone:218-230-3923
Mailing Address - Fax:
Practice Address - Street 1:3309 FIECHTNER DR S STE B
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2375
Practice Address - Country:US
Practice Address - Phone:701-747-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical