Smith, Crystal Dawn
Smith, Crystal Dawn is an individual health care provider with primary practice located at 700 W Stevens St , Carlsbad NM 88220-4958. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Crystal Dawn can be contacted via phone (575) 234-3305.Contact Information
Primary practice address
700 W Stevens St
Carlsbad NM 88220-4958
Phone: (575) 234-3305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-06610 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-07070 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-07722 | New Mexico |
Profile Details
| NPI number | 1821224551 |
|---|---|
| LBN Legal business name | Smith, Crystal Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Mar 18th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821224551 | NPPES |
| New Mexico | MEDICAID | 56558571 |
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