Crystal Nicole Justice in Laurel - Clinical

Crystal Nicole Justice - NPI 1407030521

Crystal Nicole Justice is a Clinical in Laurel, Maryland. Crystal Nicole Justice practices all healthcare services and medical treatments related to Clinical. The NPI Number for Crystal Nicole Justice is 1407030521. The last update date is 2007-12-26.

Crystal Nicole Justice's current location address is 14800 4th St, Laurel, Maryland. You can contact this provider via phone number 2402801483. The mailing address for Crystal Nicole Justice is 14800 4th St, Laurel, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Crystal Nicole Justice
Address 14800 4th St, Laurel, Maryland
Phone Number 2402801483
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1407030521
Provider Enumeration Date 2007-12-26
Last Updated Date 2007-12-26

Provider Mailing Address Detail

Address 14800 4th St
City Laurel
State Maryland (MD)
Post Code 207073764
Phone Number 2402801483
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC50078481
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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FAQs about Crystal Nicole Justice

What is the unique 10-digit identifier code assigned to Crystal Nicole Justice by the Centers for Medicare & Medicaid Services?

The Crystal Nicole Justice has been issued the NPI (National Provider Identifier) 1407030521 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Crystal Nicole Justice is located?

The Crystal Nicole Justice is situated at the following address: 14800 4Th St, Laurel, MD, 207073764.

What is Crystal Nicole Justice's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Crystal Nicole Justice is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407030521 to Crystal Nicole Justice?

The Crystal Nicole Justice received its 1407030521 assignment from the Centers for Medicare & Medicaid Services on 2007-12-26.

When was the information regarding Crystal Nicole Justice, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Crystal Nicole Justice, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-26.

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