Crystal Raequel Anderson in Loganville - Clinical
Crystal Raequel Anderson - NPI 1730237850
Crystal Raequel Anderson is a Clinical in Loganville, Georgia. Crystal Raequel Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Crystal Raequel Anderson is 1730237850. The last update date is 2007-07-08.
Crystal Raequel Anderson's current location address is 3847 Elm Trace Ct, Loganville, Georgia. You can contact this provider via phone number 4044447575 and fax number 7709852021. The mailing address for Crystal Raequel Anderson is 3847 Elm Trace Ct, Loganville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Raequel Anderson |
|---|---|
| Address | 3847 Elm Trace Ct, Loganville, Georgia |
| Phone Number | 4044447575 |
| Fax Number | 7709852021 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1730237850 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3847 Elm Trace Ct |
|---|---|
| City | Loganville |
| State | Georgia (GA) |
| Post Code | 300528770 |
| Phone Number | 4044447575 |
| Fax Number | 7709852021 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003527 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Crystal Raequel Anderson by the Centers for Medicare & Medicaid Services?
The Crystal Raequel Anderson has been assigned the NPI (National Provider Identifier) 1730237850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Crystal Raequel Anderson is physically located?
The Crystal Raequel Anderson is physically situated at the following address: 3847 Elm Trace Ct, Loganville, GA, 300528770.
What is the Crystal Raequel Anderson's specialty and taxonomy code?
The Crystal Raequel Anderson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730237850 to Crystal Raequel Anderson?
The Centers for Medicare & Medicaid Services originally issued the 1730237850 to Crystal Raequel Anderson on 2007-01-08.
As of what date was the information pertaining to Crystal Raequel Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crystal Raequel Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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